Bowman Chiropractic
Organization Active NPI Chiropractor · Soda Springs, ID
NPI 1154517530 · NPPES record last updated Sep 19, 2007
Key facts
- NPI
- 1154517530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- C458 (ID)
- Legal business name
- BOWMAN CHIROPRACTIC
- Practice address
- 300 W 2ND S
Soda Springs, ID 83276-1515 - Phone
- (208) 547-4151
- Fax
- (208) 547-4093
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Eric Bowman, D.C.
- Title
- Owner
- Phone
- (208) 547-4151
Practitioners 2
-
Eric Bowman, D.C.
-
Wesley Aaron Bowman, D.C.
National Provider Directory
Locations
300 W 2nd S
Soda Springs, ID 83276
Phone (208) 547-4151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | C458 | ID | Yes |
Addresses
Primary practice location
300 W 2ND S
Soda Springs, ID 83276-1515
Mailing address
300 W 2ND S
Soda Springs, ID 83276-1515
Phone (208) 547-4151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C458-7 | Other | ID | BLUE CROSS |
Other providers in Soda Springs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.