Daniel M Pewe Dc Pc | |
288 Highway 16 Ste 101 Emmett ID 83617-5082 | |
(208) 365-2225 | |
Not Available |
Full Name | Daniel M Pewe Dc Pc |
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Speciality | Clinic/Center |
Location | 288 Highway 16 Ste 101, Emmett, Idaho |
Authorized Official Name and Position | Daniel Michael Pewe (PRESIDENT) |
Authorized Official Contact | 2083652225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daniel M Pewe Dc Pc 288 Highway 16 Ste 101 Emmett ID 83617-5082 Ph: (208) 365-2225 | Daniel M Pewe Dc Pc 288 Highway 16 Ste 101 Emmett ID 83617-5082 Ph: (208) 365-2225 |
NPI Number | 1487829107 |
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Provider Enumeration Date | 04/23/2008 |
Last Update Date | 12/07/2023 |
Medicare PECOS PAC ID | 8224107495 |
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Medicare Enrollment ID | O20080514000807 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487829107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | CHIA-724 (Idaho) | Primary |
Provider Name | Daniel M Pewe |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922012954 PECOS PAC ID: 3779652946 Enrollment ID: I20080514000799 |
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