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IDAHO SPINE CLINIC LLC
NPI 1679805535
Chiropractor in Malad City, ID

Active since February 03, 2010
148 E 50 S, MALAD CITY, ID 83252(208) 766-8111(208) 766-8111 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Spine Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO SPINE CLINIC LLC (NPI 1679805535) is a healthcare organization registered as a chiropractor in Malad City, Idaho and active in the NPI registry since February 2010. The organization lists Ronald Eugene Perry, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1679805535
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameIDAHO SPINE CLINIC LLC
Location Address148 E 50 SMalad City, ID 83252-1368
Mailing AddressPo Box 69Malad City, ID 83252-0069 · (208) 766-8111 · Fax (208) 766-8111
Phone(208) 766-8111
Fax(208) 766-8111
Organization SubpartNo
Authorized OfficialRonald Eugene PerryDoctor Of Chiropractic · (208) 766-8111
Enumeration DateFebruary 3, 2010
✔ NPI 1679805535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-837
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
148 E 50 S, Malad City, ID 83252
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Spine Clinic LLC's NPI number?

The NPI number for Idaho Spine Clinic LLC is 1679805535. It was assigned to this organization in the NPPES registry on February 3, 2010.

Where is Idaho Spine Clinic LLC located?

Idaho Spine Clinic LLC is located at 148 E 50 S, Malad City, ID 83252. The listed phone number is (208) 766-8111.

What is Idaho Spine Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Idaho Spine Clinic LLC was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.