| Eagle Health And Wellness, Inc | |
|
3771 N Eagle Rd Boise ID 83713-5005 | |
| (208) 938-4040 | |
| (208) 938-4099 |
| Full Name | Eagle Health And Wellness, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3771 N Eagle Rd, Boise, Idaho |
| Authorized Official Name and Position | Katherine Michelle Elstun (PRESIDENT AND MEDICAL DIRECTOR) |
| Authorized Official Contact | 2089384040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Health And Wellness, Inc 3771 N Eagle Rd Boise ID 83713-5005 Ph: (208) 938-4040 | Eagle Health And Wellness, Inc 3771 N Eagle Rd Boise ID 83713-5005 Ph: (208) 938-4040 |
| NPI Number | 1083937049 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083937049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LCPC-2918 (Idaho) | Secondary |
| 111N00000X | Chiropractor | CHIA-1198 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | M-9150 (Idaho) | Primary |
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