Provider Demographics
NPI:1265677785
Name:CHIROPRACTIC PLUS
Entity type:Organization
Organization Name:CHIROPRACTIC PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-447-2414
Mailing Address - Street 1:PO BOX 2402
Mailing Address - Street 2:
Mailing Address - City:PRIEST RIVER
Mailing Address - State:ID
Mailing Address - Zip Code:83856-2402
Mailing Address - Country:US
Mailing Address - Phone:208-448-4726
Mailing Address - Fax:208-448-4726
Practice Address - Street 1:314 E ALBENI HWY, SUITE 103
Practice Address - Street 2:
Practice Address - City:PRIEST RIVER
Practice Address - State:ID
Practice Address - Zip Code:83856-2402
Practice Address - Country:US
Practice Address - Phone:208-448-4726
Practice Address - Fax:208-448-4726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty