Dr Jeremiah Lee Tibbitts, DC | |
7149 W Emerald St, Boise, ID 83704-8620 | |
(425) 394-3991 | |
Not Available |
Full Name | Dr Jeremiah Lee Tibbitts |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 17 Years |
Location | 7149 W Emerald St, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053505396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH00034810 (Washington) | Primary |
Provider Name | Wellness Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578163283 PECOS PAC ID: 3476967035 Enrollment ID: O20210122001905 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremiah Lee Tibbitts, DC 7149 W Emerald St, Boise, ID 83704-8620 Ph: (425) 394-3991 | Dr Jeremiah Lee Tibbitts, DC 7149 W Emerald St, Boise, ID 83704-8620 Ph: (425) 394-3991 |
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