| |
111 S Main St, Homedale, ID 83628-3421 | |
(208) 337-4900 | |
(208) 337-3736 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 111 S Main St, Homedale, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013905348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | James Edward Perkins |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831188754 PECOS PAC ID: 8921188418 Enrollment ID: I20080109000809 |
Mailing Address | Practice Location Address |
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111 S Main St, Po Box 335, Homedale, ID 83628-3421 Ph: (208) 337-4900 | 111 S Main St, Homedale, ID 83628-3421 Ph: (208) 337-4900 |
Dr. James Edward Perkins Jr., DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 111 S Main St, Homedale, ID 83628 Phone: 208-337-4900 Fax: 208-337-3736 |