| Dr Jennifer Anne Dorn, DC | |
|
405 S 8th St Ste 290, Boise, ID 83702-7100 | |
| (208) 342-7136 | |
| Not Available |
| Full Name | Dr Jennifer Anne Dorn |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 11 Years |
| Location | 405 S 8th St Ste 290, Boise, Idaho |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871929661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA1559 (Idaho) | Primary |
| 111NP0017X | Chiropractor - Pediatric Chiropractor | CHIA1559 (Idaho) | Secondary |
| Provider Name | Bodo Chiropractic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396171187 PECOS PAC ID: 4486883675 Enrollment ID: O20140211000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Anne Dorn, DC 405 S 8th St Ste 290, Boise, ID 83702-7100 Ph: (208) 342-7136 | Dr Jennifer Anne Dorn, DC 405 S 8th St Ste 290, Boise, ID 83702-7100 Ph: (208) 342-7136 |
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