PAUL S EGBERT (NPI# 1780649863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780649863 |
| Entity Type | Individual |
| Full Name | PAUL S EGBERT |
| Credential | DC |
| Practice Address |
479 Polk St Suite A Twin Falls ID 83301-4850 |
| Practice Telephone | 2087360343 |
| Practice Fax Number | 2087360890 |
| Mailing Telephone | 2087360343 |
| Mailing Fax Number | 2087360890 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA-662 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002707300 | 05 | |
| ID | REGENCE | 000010019915 | 01 |
| ID | BLUE CROSS | C6634 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386002012 | Paul Christopher Egbert | Physical Therapist | 41769 Enterprise Cir N, Suite 104 & 105, Temecula, CA 92590-5626 | 2016-02-09 |
| Street Address |
479 POLK ST SUITE A |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396058509 | Karla Kay Lucas | Speech-Language Pathologist | 479 Polk St, Twin Falls, ID 83301-4850 | 2010-07-16 |
| 1316271513 | Stacey Michele Pound | Speech-Language Pathologist | 479 Polk St, Suite B, Twin Falls, ID 83301-4850 | 2009-09-22 |
| 1568624641 | Rebecca A. Bischoff | Speech-Language Pathologist | 479 Polk St, Twin Falls, ID 83301-4850 | 2008-06-30 |
| 1821255175 | Stacey Pound, LLC | Speech-Language Pathologist | 479 Polk St, Suite B, Twin Falls, ID 83301-4850 | 2008-05-22 |
| 1639185358 | Egbert Chiropractic Pa | Chiropractor | 479 Polk St, Suite A, Twin Falls, ID 83301-4850 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519838 | Cody Wilhelm | Chiropractor | 1505 Madrona St N # 900c, Twin Falls, ID 83301-8318 | 2020-05-13 |
| 1063987147 | Tanner Wray | Chiropractor | 1122 Eastland Dr N Ste 2, Twin Falls, ID 83301-8444 | 2018-10-04 |
| 1497257182 | Sunrise Ridge PC | Chiropractor | 2167 Village Park Ave Ste 100, Twin Falls, ID 83301-4174 | 2018-03-08 |
| 1518389600 | Troy Jaques | Chiropractor | 459 Locust St N, Suite 100, Twin Falls, ID 83301-7353 | 2014-01-09 |
| 1578847026 | Dr. Jill's Family Chiropractic Center, Inc | Chiropractor | 788 Eastland Dr Ste B, Twin Falls, ID 83301-6856 | 2011-10-03 |
| 1184865073 | Fox Chiropractic Clinic P.a. | Chiropractor | 1126 Eastland Dr N, Suite 300, Twin Falls, ID 83301-8941 | 2009-03-23 |
| 1457507147 | David R. Long D.c. P.a. | Chiropractor | 497 Eastland Dr, Twin Falls, ID 83301-7441 | 2008-08-13 |
| 1144425745 | Ronald Corbin | Chiropractor | 760 Blue Lakes Blvd N Ste 1, Twin Falls, ID 83301-4000 | 2007-06-15 |
| 1134266398 | Nielson Family Chiropractic Inc | Chiropractor | 260 Falls Ave Ste B, Twin Falls, ID 83301-3370 | 2007-01-30 |
| 1932251899 | James Stephen Luckock | Chiropractor | 105 Filer Avenue, Twin Falls, ID 83301 | 2007-01-18 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on PAUL S EGBERT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.