Anacker Clinic Of Chiropractic, P.c. | |
300 Main St, Boise, ID 83702-7700 | |
(208) 287-2299 | |
Not Available |
Full Name | Anacker Clinic Of Chiropractic, P.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 300 Main St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114127149 | NPI | - | NPPES |
1378832 | Other | ID | MEDICARE GROUP |
1674929 | Other | ID | MEDICARE INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-997 (Idaho) | Primary |
Provider Name | Jennifer L Anacker |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1124153432 PECOS PAC ID: 0446202949 Enrollment ID: I20050216000050 |
Provider Name | Joseph Michael Pulitano |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1275191579 PECOS PAC ID: 0143633768 Enrollment ID: I20201228002089 |
Provider Name | Austin Diffey |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1285400291 PECOS PAC ID: 5294186300 Enrollment ID: I20240112001288 |
Mailing Address | Practice Location Address |
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Anacker Clinic Of Chiropractic, P.c. Po Box 2663, Boise, ID 83701-2663 Ph: (208) 287-2299 | Anacker Clinic Of Chiropractic, P.c. 300 Main St, Boise, ID 83702-7700 Ph: (208) 287-2299 |
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