Egbert Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EGBERT CHIROPRACTIC PA

Practice address

479 Polk St
Suite a
Twin Falls, ID 83301-4850

Phone

(208) 736-0887

NPI assigned

Aug 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Egbert, DC

Title

Owner

Phone

(208) 736-0887

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1639185358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1886",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833031886",
            "telephone_number": "208-736-0887",
            "fax_number": "208-736-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 POLK ST",
            "address_2": "SUITE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014850",
            "telephone_number": "208-736-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGBERT CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-736-0887",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002707300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Ebener, RPH
• Lisa Edinborough
• Mark James Edlund, MD, PHD
• Charlie Edwards, DPT
• Edwise LLC
• Madison Celeste Egeberg, PHARM.D.
• Caroline Whitney Eggerth, LPC 3971961
• Caitlin Elam, BS
• Josie Elam
• Rachel Ann Eldredge, ATC

• Chiropractor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.