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120 N Emerson Ave, Shelley, ID 83274-1105 | |
| (208) 357-1949 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 120 N Emerson Ave, Shelley, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
120 N Emerson Ave, Shelley, ID 83274-1105 Ph: (208) 357-1949 | 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 |