Aspen Ridge Chiropractic | |
3526 Briar Creek Ln, Ammon, ID 83406-4728 | |
(208) 552-8866 | |
Not Available |
Full Name | Aspen Ridge Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 3526 Briar Creek Ln, Ammon, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164780557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Michael C Miller |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1093048340 PECOS PAC ID: 2769644673 Enrollment ID: I20120509000656 |
Mailing Address | Practice Location Address |
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Aspen Ridge Chiropractic 3526 Briar Creek Ln, Ammon, ID 83406-4728 Ph: () - | Aspen Ridge Chiropractic 3526 Briar Creek Ln, Ammon, ID 83406-4728 Ph: (208) 552-8866 |
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