Willis Family Chiropractic, Llc | |
10451 W Garverdale Ct, Suite 201, Boise, ID 83704-5408 | |
(208) 322-4114 | |
(208) 322-4115 |
Full Name | Willis Family Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 10451 W Garverdale Ct, 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 |
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1114191137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIA-1268, CHIA-1267 (Idaho) | Primary |
Provider Name | Chad C Willis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1053598599 PECOS PAC ID: 7719055300 Enrollment ID: I20081009000566 |
Provider Name | Nicole Willis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1093992539 PECOS PAC ID: 0446328033 Enrollment ID: I20081009000613 |
Mailing Address | Practice Location Address |
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Willis Family Chiropractic, Llc 10451 W Garverdale Ct, Suite 201, Boise, ID 83704-5408 Ph: (208) 322-4114 | Willis Family Chiropractic, Llc 10451 W Garverdale Ct, Suite 201, Boise, ID 83704-5408 Ph: (208) 322-4114 |
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