| |
710 N 4th St, Montpelier, ID 83254-1050 | |
(208) 847-2273 | |
(208) 847-0678 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 710 N 4th St, Montpelier, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265542435 | NPI | - | NPPES |
P271311 | Other | ID | RR MEDICARE |
000010155708 | Other | ID | REGENCY BLUE SHIELD OF ID |
5638605 | Other | ID | FIRST HEALTH |
C4959 | Other | ID | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1106 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 26, Montpelier, ID 83254-0026 Ph: (208) 847-2273 | 710 N 4th St, Montpelier, ID 83254-1050 Ph: (208) 847-2273 |
Dr. Matthew Brinton Stevens, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 710 N 4th St, Montpelier, ID 83254 Phone: 208-847-2273 Fax: 208-847-0678 |