BACK COUNTRY CHIROPRACTIC PLLC
Chiropractic at Bridge St, Egin, ID

License number
Idaho CHIA-1145
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. PAUL CLEMENT HILL DC
Title: OWNER/ CHIROPRACTIC PHYSICIAN
Phone: (208) 624-2222
Address
Address
104 N Bridge St SUITE 104, Egin, ID 83445
National Provider ID: 1891985826
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BACK COUNTRY CHIROPRACTIC, PLLC

104 N Brg STE 104, Saint Anthony, ID 83445

Status:
Inactive
Registration:
Sep 22, 2005
Inactive since:
Dec 7, 2010
State ID:
W43072
Business type:
Limited Liability Company
Agent:
Paul Clement Hill,104 N Brg STE 104, Saint Anthony, ID 83445 (Physical)