Jon Charles Juker, DC | |
1390 S Maple Grove Rd Unit 200, Boise, ID 83709-1610 | |
(208) 986-0966 | |
Not Available |
Full Name | Jon Charles Juker |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1390 S Maple Grove Rd Unit 200, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760261739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-2372 (Idaho) | Primary |
Provider Name | Juke Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528840576 PECOS PAC ID: 5294182630 Enrollment ID: O20231107002765 |
Mailing Address | Practice Location Address |
---|---|
Jon Charles Juker, DC 614 S Lawrence Ave, Boise, ID 83709-0827 Ph: (208) 908-9758 | Jon Charles Juker, DC 1390 S Maple Grove Rd Unit 200, Boise, ID 83709-1610 Ph: (208) 986-0966 |
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