Organization
BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRWIN MULNICK D.C. (PRESIDENT)
(208) 634-8129
Entity
Organization
Contact information
Practice address
201 PARK ST., MCCALL, ID 83638-1005
(208) 634-8129
(208) 634-7651
Mailing address
201 PARK STREET, PO BOX 1005, MCCALL, ID 83638
(208) 634-7651
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
CHIA595
ID
111NS0005X
Sports Physician Chiropractor
Primary
CHIA578
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5782
BLUE CROSS IRWIN MULNICK
ID
01
—
C9446
BLUE CROSS, UMA MULNICK
ID
01
—
CHIA578
IRWIN MULNICK LICENSE #
ID
01
—
CHIA595
UMA MULNICK, LICENSE #
ID
Enumeration date
12/18/2006
Last updated
09/11/2025
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