Organization · Type 2 NPI

Eagle Chiropractic PC

Clinic/Center · Eagle, ID

NPI number 1720188857 Active

Practice location

5337 S State St
Eagle, ID 83616-4313

Call (208) 939-9195 Map

Fax (208) 939-4686

Mailing address

5337 W State St
Eagle, ID 83616-4313

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XC561 (ID)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1720188857

Eagle Chiropractic PC's National Provider Identifier is 1720188857, issued on Sep 25, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Eagle, ID. The record was last updated on Oct 11, 2019.