Laura Nicole Aggen, D.C.
Individual provider Active NPI Chiropractor · Coeur D Alene, ID
NPI 1487988077 · NPPES record last updated Sep 29, 2009
Key facts
- NPI
- 1487988077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIA-1357 (ID)
- Practice address
- 6125 N Sunshine St Ste a
Coeur D Alene, ID 83815-8688 - Phone
- (208) 772-0802
- Fax
- (208) 762-3531
- NPI assigned
- Sep 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1357 | ID | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1357 | ID | Yes |
Addresses
Primary practice location
6125 N Sunshine St Ste a
Coeur D Alene, ID 83815-8688
Mailing address
6125 N Sunshine St Ste a
Coeur D Alene, ID 83815-8688
Phone (208) 772-0802
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2009. 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.