Mushin, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-773 Issued in ID

Legal business name

MUSHIN, INC.

Doing business as

Eagle Cramer Chiropractic

Practice address

1580 E State St
Suite 104
Eagle, ID 83616-6853

Phone

(208) 939-3737

Fax

(208) 939-2538

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Todd Cramer, D.C.

Title

President

Phone

(208) 939-3737

Specialties & licenses 1

Addresses

Other names 1

• Eagle Cramer Chiropractic Doing business as

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1982009122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 E STATE ST",
            "address_2": "SUITE 104",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166853",
            "telephone_number": "208-939-3737",
            "fax_number": "208-939-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 E STATE ST",
            "address_2": "SUITE 104",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166853",
            "telephone_number": "208-939-3737",
            "fax_number": "208-939-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSHIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-939-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Cramer Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Patricia Lynn Murray
• Alexander Nagle
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• Nate Bonovitz Counseling, LLC
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• Chiropractor in Eagle, ID
• Providers in Eagle, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.