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25040 Burrow Ln, Juliaetta, ID 83535-5004 | |
(208) 305-5547 | |
(208) 836-5755 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 25040 Burrow Ln, Juliaetta, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871761148 | NPI | - | NPPES |
C8901 | Other | GA | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIA826 (Idaho) | Primary |
Provider Name | Susan J Aubuchon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336132380 PECOS PAC ID: 6800880386 Enrollment ID: I20120329000856 |
Mailing Address | Practice Location Address |
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25040 Burrow Ln, Juliaetta, ID 83535-5004 Ph: (208) 305-5547 | 25040 Burrow Ln, Juliaetta, ID 83535-5004 Ph: (208) 305-5547 |
Dr. Susan Jane Aubuchon, DC, ACC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 25040 Burrow Ln, Juliaetta, ID 83535 Phone: 208-305-5547 Fax: 208-836-5755 |