| Blue Lakes Chiropractic, Pa | |
|
1122 Eastland Dr N # 2, Twin Falls, ID 83301-8444 | |
| (208) 734-9531 | |
| (208) 733-6969 |
| Full Name | Blue Lakes Chiropractic, Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1122 Eastland Dr N # 2, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679508170 | NPI | - | NPPES |
| 312142 | Other | ID | BLUE SHIELD |
| M8082987 | Medicaid | ID | |
| C9974 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Idaho) | Primary |
| Provider Name | Howard Rusty Arrington |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063576619 PECOS PAC ID: 8527054246 Enrollment ID: I20040420001499 |
| Provider Name | Joshua B Olsen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962599472 PECOS PAC ID: 5092899179 Enrollment ID: I20080227000850 |
| Provider Name | Howard Rusty Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063576619 PECOS PAC ID: 8527054246 Enrollment ID: I20160401001167 |
| Provider Name | Tanner C Wray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063987147 PECOS PAC ID: 1052655420 Enrollment ID: I20181212001003 |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lakes Chiropractic, Pa 1122 Eastland Dr N # 2, Twin Falls, ID 83301-8444 Ph: (208) 734-9531 | Blue Lakes Chiropractic, Pa 1122 Eastland Dr N # 2, Twin Falls, ID 83301-8444 Ph: (208) 734-9531 |
Dr. Robert Max Johnson Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1942 Addison Ave E # 2, Twin Falls, ID 83301 Phone: 208-734-8680 | |
Dr. Samuel Harrison Barker, D.C., NP-C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 844 Washington St N Ste 400, Twin Falls, ID 83301 Phone: 208-734-0000 Fax: 208-735-5053 | |
Dr. Howard Rusty Arrington, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1122 Eastland Dr N # 2, Twin Falls, ID 83301 Phone: 208-734-9531 Fax: 208-733-6969 | |
Tanner Wray, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1122 Eastland Dr N Ste 2, Twin Falls, ID 83301 Phone: 208-734-9531 | |
Bryan Hymas, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 148 Cheney Dr W Ste 300, Twin Falls, ID 83301 Phone: 208-969-9029 | |
Dr. Sue V. Phillips, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1625 Addison Ave E, Twin Falls, ID 83301 Phone: 208-735-2442 Fax: 208-735-9030 | |
Lifestyle Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 777 Addison Ave, Twin Falls, ID 83301 Phone: 208-736-8818 Fax: 208-736-8828 |