| Salmon River Chiropractic Inc. | |
|
104 S Daisy St, Suite A, Salmon, ID 83467-4333 | |
| (208) 756-5000 | |
| Not Available |
| Full Name | Salmon River Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 104 S Daisy St, Salmon, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225068059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1182 (Idaho) | Primary |
| Provider Name | Lance S Ingwersen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295766822 PECOS PAC ID: 7810990355 Enrollment ID: I20060822000626 |
| Provider Name | Jennifer V Coffey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891726196 PECOS PAC ID: 6901809441 Enrollment ID: I20070308000661 |
| Provider Name | Alicia S Hanford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639893464 PECOS PAC ID: 4385016229 Enrollment ID: I20230202001321 |
| Provider Name | Mark A Kennington |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417618596 PECOS PAC ID: 1052779337 Enrollment ID: I20230619000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Salmon River Chiropractic Inc. 104 S Daisy St, Suite A, Salmon, ID 83467-4333 Ph: (208) 756-5000 | Salmon River Chiropractic Inc. 104 S Daisy St, Suite A, Salmon, ID 83467-4333 Ph: (208) 756-5000 |
Dr. Rebecca L Jergenson, DC, EMT Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 104 S Daisy St Ste A, Salmon, ID 83467 Phone: 208-756-2202 Fax: 208-756-2213 | |
Karli Keys, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1911 Main St, Salmon, ID 83467 Phone: 208-756-2211 | |
Dr. Lance Shane Ingwersen, D.C Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 104 S Daisy St, Suite A, Salmon, ID 83467 Phone: 208-756-5000 | |
Bradley Marx, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 104 S Daisy St Ste A, Salmon, ID 83467 Phone: 208-756-2202 | |
Mr. Brian A Barry, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 818 Main St, Suite F, Salmon, ID 83467 Phone: 208-756-1428 | |
Alicia Hanford, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 104 S Daisy St Ste A, Salmon, ID 83467 Phone: 208-756-2202 |