Innate Health Chiropractic Center

NPI 1124410139 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1124410139
Enumeration Date 02/27/2015
Last Updated 02/27/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KYLE KYLE
Position PRESIDENT
Phone (208) 884-2885
Fax
Practice Location
1560 N CRESTMONT DR STE E
MERIDIAN ID, 83642-2178, US
Phone (208) 884-2885
Fax
Business Location
1560 N CRESTMONT DR STE E
MERIDIAN ID, 83642-2178, US
Phone
Fax
Toxanomy
Taxonomy Code 302F00000X
License State Idaho
License Number CHIA-1588
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According to our database, Innate Health Chiropractic Center NPI is 1124410139, taxonomy code is 302F00000X and license number is CHIA-1588, license state is located at Idaho. Innate Health Chiropractic Center physically located at 1560 N Crestmont Dr Ste E, Meridian ID, 83642-2178. NPI Number 1033115704 has the healthcare provider type.

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1124410139 NPI number is provided on an as is basis without warranty of any kind. 1124410139 is maintained by the National Plan & Provider Enumeration System. The contents of Innate Health Chiropractic Center are for informational purposes only.