| Elevated Life Family Chiropractic | |
|
120 N Emerson Ave, Shelley, ID 83274-1105 | |
| (208) 357-1949 | |
| Not Available |
| Full Name | Elevated Life Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 120 N Emerson Ave, Shelley, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215437751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1789 (Idaho) | Primary |
| 111NP0017X | Chiropractor - Pediatric Chiropractor | CHIA-1789 (Idaho) | Secondary |
| Provider Name | Randall Charles Searle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043724990 PECOS PAC ID: 4284999533 Enrollment ID: I20180607001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Life Family Chiropractic 120 N Emerson Ave, Shelley, ID 83274-1105 Ph: (208) 357-1949 | Elevated Life Family Chiropractic 120 N Emerson Ave, Shelley, ID 83274-1105 Ph: (208) 357-1949 |
Dr. Douglas Jed Peterson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 650 N State St, Suite #1, Shelley, ID 83274 Phone: 208-357-2225 Fax: 208-357-2224 | |
Randall Searle, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 120 N Emerson Ave, Shelley, ID 83274 Phone: 208-357-1949 | |
Dr. Aaron Walter Nippert, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 650 N State St Ste 1, Shelley, ID 83274 Phone: 208-757-7300 | |
Nippert Chiropractic Health Center, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 650 N State St Ste 1, Shelley, ID 83274 Phone: 214-288-5092 | |
Dr. Kade Keck, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 528 N State St, Shelley, ID 83274 Phone: 208-357-0333 | |
Dr. Brennan Todd Williams, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 528 N State St, Shelley, ID 83274 Phone: 208-357-0333 Fax: 208-357-2299 |