Provider Demographics
NPI:1063576619
Name:ARRINGTON, HOWARD RUSTY (DC)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:RUSTY
Last Name:ARRINGTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 EASTLAND DR N # 2
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-8444
Mailing Address - Country:US
Mailing Address - Phone:208-734-9531
Mailing Address - Fax:208-733-6969
Practice Address - Street 1:1122 EASTLAND DR N # 2
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-8444
Practice Address - Country:US
Practice Address - Phone:208-734-9531
Practice Address - Fax:208-733-6969
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA1053111N00000X
IDNP-1688A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDM8082987Medicaid
IDU98769Medicare UPIN
IDM8082987Medicaid