Organization · NPI-2

Advanced Chiropractic Neurology And Internal Medicine

Clinic/Center · Idaho Falls, ID

NPI number1811273501
StatusActive
Last updated in NPPESOct 26, 2011

Details

NPI
1811273501
Entity type
Organization (NPI-2)
Legal business name
Advanced Chiropractic Neurology And Internal Medicine
Organization subpart
No
Enumeration date
Oct 26, 2011
Last updated
Oct 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterCHIA-1208IDYes

Practice location

1542 Elk Creek Dr
Idaho Falls, ID 83404-8322

Phone 208-523-1620 · Fax 208-523-1497

Mailing address

1542 Elk Creek Dr
Idaho Falls, ID 83404-8322

Phone 208-523-1620 · Fax 208-523-1497

Authorized official

Joseph E Hall
Owner
2085231620

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