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608 Main Street, Ashton, ID 83420 | |
(208) 652-2225 | |
(208) 652-2226 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 608 Main Street, Ashton, 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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1356364798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIA-1176 (Idaho) | Primary |
Provider Name | Bradley J Rankin |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497791677 PECOS PAC ID: 9234132598 Enrollment ID: I20060807000375 |
Mailing Address | Practice Location Address |
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Po Box 400, Ashton, ID 83420-0400 Ph: (208) 652-2225 | 608 Main Street, Ashton, ID 83420 Ph: (208) 652-2225 |
Bradley J Rankin, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 608 Main Street, Ashton, ID 83420 Phone: 208-652-2225 Fax: 208-652-2226 |