Wellness Inc | |
7149 W Emerald St, Boise, ID 83704-8620 | |
(425) 394-3991 | |
Not Available |
Full Name | Wellness Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 7149 W Emerald St, 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 |
---|---|---|---|
1578163283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Stoney R Foster |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194756510 PECOS PAC ID: 9335049535 Enrollment ID: I20061215000398 |
Provider Name | Jeremiah Lee Tibbitts |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1053505396 PECOS PAC ID: 7618139155 Enrollment ID: I20210126002575 |
Mailing Address | Practice Location Address |
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Wellness Inc 16372 162nd St Se, Monroe, WA 98272-2847 Ph: (425) 394-3991 | Wellness Inc 7149 W Emerald St, Boise, ID 83704-8620 Ph: (425) 394-3991 |
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