Back Country Chiropractic Pllc is a
Chiropractor based in Saint Anthony, Idaho. Back Country Chiropractic Pllc is licensed to practice in Idaho (license number CHIA-1145) and their current practice location is
104 N Bridge St, Suite 104, Saint Anthony, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 624-2222.
NPI number for Back Country Chiropractic Pllc is 1891985826 and their current mailing address is Po Box 586, Saint Anthony, Idaho. Back Country Chiropractic Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1891985826.
Healthcare Provider's Profile
| Full Name | Back Country Chiropractic Pllc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 104 N Bridge St, Saint Anthony, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891985826
- Provider Enumeration Date: 07/26/2007
- Last Update Date: 07/26/2007
Medical Identifiers
Medical identifiers for Back Country Chiropractic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891985826 | NPI | - | NPPES |
| 000010154569 | Other | ID | REGENCE BS |
| 1369096 | Other | ID | GROUP PRICING NUMBER |
| C9670 | Other | ID | BC OF IDAHO |
| 1670479 | Other | ID | PERFORMING PROVIDER NUMBE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CHIA-1145 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Back Country Chiropractic Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Back Country Chiropractic Pllc
Po Box 586,
Saint Anthony, ID 83445-0586
Ph: (208) 624-2222 | Back Country Chiropractic Pllc
104 N Bridge St, Suite 104,
Saint Anthony, ID 83445-1455
Ph: (208) 624-2222 |
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