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6 W Bridge St, Blackfoot, ID 83221-2701 | |
| (208) 785-0832 | |
| (208) 785-0835 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6 W Bridge St, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811168305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1075 (Idaho) | Primary |
| Provider Name | Michael L Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518023423 PECOS PAC ID: 9537139977 Enrollment ID: I20040730001139 |
| Mailing Address | Practice Location Address |
|---|---|
6 W Bridge St, Blackfoot, ID 83221-2701 Ph: (208) 785-0832 | 6 W Bridge St, Blackfoot, ID 83221-2701 Ph: (208) 785-0832 |
Dr. Fredric Charles Hill I, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 195 Elm St, Blackfoot, ID 83221 Phone: 208-785-5262 Fax: 208-785-5263 | |
Ellis Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 745 W Bridge St Ste F, Blackfoot, ID 83221 Phone: 208-782-9793 Fax: 208-782-1999 | |
Steven Wayne Hulse, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1395 Nw Main St, Blackfoot, ID 83221 Phone: 208-785-0270 | |
River Valley Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 34 Se Main St, Blackfoot, ID 83221 Phone: 208-643-9023 Fax: 208-643-9025 | |
Dr. Michael Lafayette Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6th W. Bridge St., Blackfoot, ID 83221 Phone: 208-785-0832 |