Provider Demographics
NPI:1508947979
Name:BINGHAM, JAMES H (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:BINGHAM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 N REGAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-7179
Mailing Address - Country:US
Mailing Address - Phone:082-377-9500
Mailing Address - Fax:208-377-8449
Practice Address - Street 1:1701 N REGAL DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-7179
Practice Address - Country:US
Practice Address - Phone:208-377-9500
Practice Address - Fax:208-377-8449
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1060111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDC5619OtherBLUE CROSS OF IDAHO
ID000010155358OtherREGENCE BLUE SHIELD OF ID