Provider Demographics
NPI:1861632028
Name:NATURAL HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:NATURAL HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARNHART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-704-9504
Mailing Address - Street 1:6101 E HIGHWAY 54
Mailing Address - Street 2:UNIT A
Mailing Address - City:ATHOL
Mailing Address - State:ID
Mailing Address - Zip Code:83801-8255
Mailing Address - Country:US
Mailing Address - Phone:208-704-9504
Mailing Address - Fax:
Practice Address - Street 1:6101 E HIGHWAY 54
Practice Address - Street 2:UNIT A
Practice Address - City:ATHOL
Practice Address - State:ID
Practice Address - Zip Code:83801-8255
Practice Address - Country:US
Practice Address - Phone:208-704-9504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA- 1340261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service