Advanced Chiropractic Neurology and Internal Medicine
Organization Active NPI Clinic/Center · Idaho Falls, ID
NPI 1811273501 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1811273501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- CHIA-1208 (ID)
- Legal business name
- ADVANCED CHIROPRACTIC NEUROLOGY AND INTERNAL MEDICINE
- Practice address
- 1542 Elk Creek Dr
Idaho Falls, ID 83404-8322 - Phone
- (208) 523-1620
- Fax
- (208) 523-1497
- NPI assigned
- Oct 26, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph E Hall, D.C.
- Title
- Owner
- Phone
- (208) 523-1620
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CHIA-1208 | ID | Yes |
Addresses
Primary practice location
1542 Elk Creek Dr
Idaho Falls, ID 83404-8322
Mailing address
1542 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone (208) 523-1620
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. 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.