Mr Shenandoah Layne Troumbley, DC CNIM is a
Specialist/technologist, Other - Electroneurodiagnostic based in Preston, Idaho. Mr Shenandoah Layne Troumbley is licensed to practice in * (Not Available) (license number ) and his current practice location is
43 S 300 E, Preston, Idaho. He can be reached at his office (for appointments etc.) via phone at
(734) 545-3896.
NPI number for Mr Shenandoah Layne Troumbley is 1619037033 and his current mailing address is 43 S 300 E, Preston, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619037033.
Healthcare Provider's Profile
| Full Name | Mr Shenandoah Layne Troumbley |
|---|
| Gender | Male |
|---|
| Speciality | Specialist/technologist, Other - Electroneurodiagnostic |
|---|
| Location | 43 S 300 E, Preston, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619037033
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 01/22/2016
Medical Identifiers
Medical identifiers for Mr Shenandoah Layne Troumbley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619037033 | NPI | - | NPPES |
| 806965100 | Medicaid | ID | |
| 000010148066 | Other | ID | BLUE SHEILD OF IDAHO |
| C4785 | Other | ID | BLUE CROSS OF IDAHO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CHIA-1091 (Idaho) | Secondary |
| 246ZE0600X | Specialist/technologist, Other - Electroneurodiagnostic | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shenandoah Layne Troumbley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Shenandoah Layne Troumbley, DC CNIM
43 S 300 E,
Preston, ID 83263-1318
Ph: (734) 545-3896 | Mr Shenandoah Layne Troumbley, DC CNIM
43 S 300 E,
Preston, ID 83263-1318
Ph: (734) 545-3896 |
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