Gretchen Michelle Bly is a Rexburg, Idaho based female chiropractor who is specialized as General Chiropractor. Active license number of Gretchen Michelle Bly as General Chiropractor is CHIA-1037 in Idaho. Gretchen Michelle Bly is qualified as 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.
Complete Profile:
Gretchen Michelle Bly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Female
Practice Address:
105 W Main St, Rexburg, Idaho, 83440-2634
Phone:
208-356-6772
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1073630984
NPI Enumeration Date:
24 Mar, 2007
NPI Last Update On:
08 Aug, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gretchen Michelle Bly are as mentioned below.
License Number
Specialization
State
Status
CHIA-1037
Chiropractor
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Gretchen Michelle Bly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
16711661
Other
Idaho
MEDICARE GROUP PTAN
806710900
Medicaid
Idaho
16753471
Other
Idaho
MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
105 W Main St, Rexburg, Idaho
Zip:
83440-2634
Phone Number:
208-356-6772
Fax Number:
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Patients can reach Gretchen Michelle Bly at 105 W Main St, Rexburg, Idaho or can call to book an appointment on 208-356-6772. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.