Provider Demographics
NPI:1326234451
Name:MIHIN CHIROPRACTIC CLINIC, PLLC
Entity Type:Organization
Organization Name:MIHIN CHIROPRACTIC CLINIC, PLLC
Other - Org Name:NORTH IDAHO SPINE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:MIHIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-265-2225
Mailing Address - Street 1:710 SUPERIOR ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1684
Mailing Address - Country:US
Mailing Address - Phone:208-265-2225
Mailing Address - Fax:
Practice Address - Street 1:710 SUPERIOR ST
Practice Address - Street 2:SUITE B
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1684
Practice Address - Country:US
Practice Address - Phone:208-265-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty