ASPEN MANAGMENT SERVICES INC NPI 1841370053

NPI Information

NPI: 1841370053
Provider Name: ASPEN MANAGMENT SERVICES INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Doing Business As: ADVANCED HEALTH AND PHYSICAL THERAPY CENTER
Address: 657 S WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 552-9886

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NPI Details

ASPEN MANAGMENT SERVICES INC is a chiropractor in Idaho Falls, ID. The provider is 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. ASPEN MANAGMENT SERVICES INC NPI is 1841370053. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Health And Physical Therapy Center.

The provider's business location address is:

657 S WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83401-596
Phone: (208) 552-9886
Fax: (208) 552-9843

The provider's authorized official is Gary Olaveson .
The authorized official title is Owner/chiropractor and has the following contact phone number (208) 552-9886.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 10/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TC126	OTHER	IDAHO	BLUE CROSS PROVIDER NO
2	1379327	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	MEDICARE PROVIDER NUMBER
3	000010149844	OTHER	IDAHO	BLUE SHIELD PROVIDER NO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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