Dr Lance Shane Ingwersen, DC | |
104 S Daisy St, Suite A, Salmon, ID 83467-4333 | |
(208) 756-5000 | |
Not Available |
Full Name | Dr Lance Shane Ingwersen |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 19 Years |
Location | 104 S Daisy St, Salmon, Idaho |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295766822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-1181 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salmon River Chiropractic Inc | 5092718536 | 2 |
Provider Name | Salmon River Chiropractic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225068059 PECOS PAC ID: 5092718536 Enrollment ID: O20060822000624 |
Mailing Address | Practice Location Address |
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Dr Lance Shane Ingwersen, DC 104 S Daisy St, Suite A, Salmon, ID 83467-4333 Ph: (208) 756-5000 | Dr Lance Shane Ingwersen, DC 104 S Daisy St, Suite A, Salmon, ID 83467-4333 Ph: (208) 756-5000 |
Karli Keys, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1911 Main St, Salmon, ID 83467 Phone: 208-756-2211 | |
Salmon River Chiropractic Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 104 S Daisy St, Suite A, Salmon, ID 83467 Phone: 208-756-5000 | |
Bradley Marx, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 104 S Daisy St Ste A, Salmon, ID 83467 Phone: 208-756-2202 | |
Mr. Brian A Barry, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 818 Main St, Suite F, Salmon, ID 83467 Phone: 208-756-1428 | |
Alicia Hanford, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 104 S Daisy St Ste A, Salmon, ID 83467 Phone: 208-756-2202 | |
Dr. Jennifer Victoria Coffey, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 104 S Daisy St, Suite A, Salmon, ID 83467 Phone: 208-756-2202 Fax: 208-756-2213 |