Organization
BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC.
Active
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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