Boise Integrated Chiropractic | |
3224 N Maple Grove Rd, Boise, ID 83704-4214 | |
(208) 629-5374 | |
Not Available |
Full Name | Boise Integrated Chiropractic |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 3224 N Maple Grove Rd, 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 |
---|---|---|---|
1700364437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-1368 (Idaho) | Primary |
Provider Name | Noah Blue Edvalson |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1275767519 PECOS PAC ID: 8022160100 Enrollment ID: I20190211001842 |
Mailing Address | Practice Location Address |
---|---|
Boise Integrated Chiropractic 3271 N Milwaukee St, Boise, ID 83704-4425 Ph: (208) 629-5374 | Boise Integrated Chiropractic 3224 N Maple Grove Rd, Boise, ID 83704-4214 Ph: (208) 629-5374 |
Johnnie R Clemans, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7805 Ustick Rd, Boise, ID 83704 Phone: 208-375-7851 Fax: 208-375-1905 | |
Dr. Edward Reza Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8631 W Ardene St, Boise, ID 83709 Phone: 208-629-1904 Fax: 208-545-1846 | |
Century Clinic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3062 N Five Mile Rd, Suite A, Boise, ID 83713 Phone: 208-377-9500 Fax: 208-377-8449 | |
Healthy Creations Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 2999 N Lakeharbor Ln Ste 201, Boise, ID 83703 Phone: 208-853-2277 Fax: 208-853-2278 | |
Dr. Benjamin Webb, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13909 W Wainwright Dr, Boise, ID 83713 Phone: 208-322-7900 | |
Dr. Gary D Musgrave, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3314 N. Cole Rd., Boise, ID 83704 Phone: 208-377-9930 Fax: 208-377-9932 | |
Dr. Luke A. Willett, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3040 N Five Mile Rd, Suite C, Boise, ID 83713 Phone: 208-321-8484 Fax: 208-321-5084 |