| Ellis Chiropractic Inc | |
|
745 W Bridge St Ste F, Blackfoot, ID 83221-2000 | |
| (208) 782-9793 | |
| (208) 782-1999 |
| Full Name | Ellis Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 745 W Bridge St Ste F, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043406705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 860 (Idaho) | Primary |
| Provider Name | Valden J Ellis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689627978 PECOS PAC ID: 4284655317 Enrollment ID: I20051220000698 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Chiropractic Inc 745 W. Bridge St. Suite F, Blackfoot, ID 83221 Ph: (208) 782-9793 | Ellis Chiropractic Inc 745 W Bridge St Ste F, Blackfoot, ID 83221-2000 Ph: (208) 782-9793 |
Dr. Fredric Charles Hill I, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 195 Elm St, Blackfoot, ID 83221 Phone: 208-785-5262 Fax: 208-785-5263 | |
Advanced Integrated Medical Center Chiropractor Medicare: Medicare Enrolled Practice Location: 1395 Nw Main St, Blackfoot, ID 83221 Phone: 208-785-0270 | |
Steven Wayne Hulse, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1395 Nw Main St, Blackfoot, ID 83221 Phone: 208-785-0270 | |
Simpson Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 58 S Maple St, Blackfoot, ID 83221 Phone: 208-812-4044 Fax: 208-218-9484 | |
River Valley Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 34 Se Main St, Blackfoot, ID 83221 Phone: 208-643-9023 Fax: 208-643-9025 | |
Dr. Michael Lafayette Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6th W. Bridge St., Blackfoot, ID 83221 Phone: 208-785-0832 |