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Search › Idaho › 111NR0400X

Justin Brink, D.C

NPI 1518003979 · on the registry since 2007 · sole proprietor

Practice

Address
36 N Echohawk Ln Ste 104b
Eagle, ID 83616
Phone
(208) 968-6700
Fax
(208) 563-3938
Organisation at this address
Roam Ind Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
111NR0400X
111NR0400X
Also registered as
111N00000X
111NR0400X
111NS0005X
Licence states on file
CA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho