Organization
IDEAL HEALTH
Active
Other names
Modern Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W BETZ D.C. (CHIROPRACTIC/PRESIDENT)
(208) 830-3034
Entity
Organization
Contact information
Practice address
8631 W ARDENE ST, BOISE, ID 83709-2601
(208) 629-1904
(208) 545-1846
Mailing address
8505 W OVERLAND RD, BOISE, ID 83709-1644
(208) 629-1904
(208) 545-1846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-977
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8078217
—
ID
Enumeration date
09/20/2007
Last updated
08/31/2023
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