Storey Chiropractic Clinic Pc | |
50 S Broadway Ave, Suite A, Boise, ID 83702-7283 | |
(208) 345-2211 | |
(208) 345-2097 |
Full Name | Storey Chiropractic Clinic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 50 S Broadway Ave, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669782967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA 554 (Idaho) | Primary |
Provider Name | Ronald J Storey |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1245262005 PECOS PAC ID: 7911194105 Enrollment ID: I20101214000983 |
Mailing Address | Practice Location Address |
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Storey Chiropractic Clinic Pc 50 S Broadway Ave, Suite A, Boise, ID 83702-7283 Ph: (208) 345-2211 | Storey Chiropractic Clinic Pc 50 S Broadway Ave, Suite A, Boise, ID 83702-7283 Ph: (208) 345-2211 |
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