| East Ridge Chiropractic | |
|
1320 S Ammon Rd, Ammon, ID 83406-5810 | |
| (509) 551-5365 | |
| Not Available |
| Full Name | East Ridge Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1320 S Ammon Rd, Ammon, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780290981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Lucas D Watson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790223337 PECOS PAC ID: 7214201383 Enrollment ID: I20210122001542 |
| Mailing Address | Practice Location Address |
|---|---|
| East Ridge Chiropractic 1320 S Ammon Rd, Ammon, ID 83406-5810 Ph: (509) 551-5365 | East Ridge Chiropractic 1320 S Ammon Rd, Ammon, ID 83406-5810 Ph: (509) 551-5365 |
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Dr. Devin P Scoresby, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2677 E 17th St Ste 500, Ammon, ID 83406 Phone: 208-881-0686 Fax: 208-538-0034 | |
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