| Cleverley Chiropractic | |
|
720 Us-30, Buhl, ID 83316 | |
| (208) 543-2005 | |
| Not Available |
| Full Name | Cleverley Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 720 Us-30, Buhl, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972780260 | NPI | - | NPPES |
| C9917 | Other | ID | BLUE CROSS OF IDAHO |
| 000010027755 | Other | ID | REGENCE BLUE SHIELD |
| 805752600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA902 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cleverley Chiropractic 800 Main St, Buhl, ID 83316-1236 Ph: (208) 543-2005 | Cleverley Chiropractic 720 Us-30, Buhl, ID 83316 Ph: (208) 543-2005 |
Dr. Zyon Justice Cleverley, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 800 Main St, Buhl, ID 83316 Phone: 208-751-3647 | |
Dr. Justin Ray Cleverley, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 800 Main St, Buhl, ID 83316 Phone: 208-543-2005 Fax: 208-543-4172 |