| Michael J. Moorhouse Inc. | |
|
13900 W Wainwright Dr Ste 100 Boise ID 83713-5028 | |
| (208) 938-2992 | |
| (208) 938-3476 |
| Full Name | Michael J. Moorhouse Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 13900 W Wainwright Dr Ste 100, Boise, Idaho |
| Authorized Official Name and Position | Michael Moorhouse (OWNER/DOCTOR) |
| Authorized Official Contact | 2089382992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Moorhouse Inc. 13900 W Wainwright Dr Ste 100 Boise ID 83713-5028 Ph: (208) 938-2992 | Michael J. Moorhouse Inc. 13900 W Wainwright Dr Ste 100 Boise ID 83713-5028 Ph: (208) 938-2992 |
| NPI Number | 1124674437 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 08/13/2019 |
| Medicare PECOS PAC ID | 0648513473 |
|---|---|
| Medicare Enrollment ID | O20190520001386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124674437 | NPI | - | NPPES |
| CHIA-1109 | Other | ID | LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael J Moorhouse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104855691 PECOS PAC ID: 9830141837 Enrollment ID: I20050217000952 |
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