| Joshua Boone Olsen, DC | |
|
2621 Overland Ave, Burley, ID 83318-2942 | |
| (208) 678-4100 | |
| (208) 678-4101 |
| Full Name | Joshua Boone Olsen |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2621 Overland Ave, Burley, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962599472 | NPI | - | NPPES |
| 807010300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-996 (Idaho) | Primary |
| Provider Name | Blue Lakes Chiropractic, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679508170 PECOS PAC ID: 7911992334 Enrollment ID: O20040415001316 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Boone Olsen, DC Po Box 403, Hagerman, ID 83332-0403 Ph: (208) 731-6241 | Joshua Boone Olsen, DC 2621 Overland Ave, Burley, ID 83318-2942 Ph: (208) 678-4100 |
Dr. Jake W Sanford, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 749 N Overland Ave, Burley, ID 83318 Phone: 208-260-0917 Fax: 208-261-5004 | |
Scott Max Serr, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1210 Oakley Ave, Burley, ID 83318 Phone: 208-878-2273 | |
Dr. Erik R. Evans, CHIROPRACTOR Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2621 Overland Ave, Burley, ID 83318 Phone: 208-678-4100 Fax: 208-678-4101 | |
Dr. Lynn A Hansen, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1210 Oakley Ave, Burley, ID 83318 Phone: 208-878-2273 Fax: 208-878-2275 | |
Dr. Troy W Crane, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2552 Overland Ave, Burley, ID 83318 Phone: 208-677-9020 Fax: 208-322-2443 | |
Hansen Chiropractic And Neurology Health Center P C Chiropractor Medicare: Medicare Enrolled Practice Location: 1210 Oakley Ave, Burley, ID 83318 Phone: 208-878-2273 Fax: 208-878-2275 | |
Cody Shawn Liljenquist, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1700 Overland Ave, Burley, ID 83318 Phone: 208-678-2631 Fax: 208-678-2631 |