Steven Brett Hall, D.C.
Individual provider Active NPI Chiropractor · Rathdrum, ID
NPI 1881705366 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881705366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIA924 (ID)
- Practice address
- 14822 N Highway 41
Rathdrum, ID 83858-8461 - Phone
- (208) 687-7029
- Fax
- (208) 687-9233
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14822 N Hwy 41
Rathdrum, ID 83858-8461
Phone (208) 687-7029
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000749 | ID | Practitioner - Chiropractic | 1658548375 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA924 | ID | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA924 | ID | Yes |
Addresses
Primary practice location
14822 N Highway 41
Rathdrum, ID 83858-8461
Mailing address
14822 N Highway 41
Rathdrum, ID 83858-8461
Phone (208) 687-7029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3529 | Other | ID | ID STATE INSURANCE FUND |
| 135737 | Other | ID | WASHINGTON L & I |
| 000010029010 | Other | ID | BLUE SHIELD OF IDAHO |
| C1799 | Other | ID | BLUE CROSS OF IDAHO |
Other providers in Rathdrum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.