| Alicia Hanford, DC | |
|
104 S Daisy St Ste A, Salmon, ID 83467-4333 | |
| (208) 756-2202 | |
| Not Available |
| Full Name | Alicia Hanford |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 104 S Daisy St Ste A, Salmon, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639893464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-2293 (Idaho) | Primary |
| Provider Name | Salmon River Chiropractic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225068059 PECOS PAC ID: 5092718536 Enrollment ID: O20060822000624 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Hanford, DC 104 S Daisy St Ste A, Salmon, ID 83467-4333 Ph: (208) 562-2027 | Alicia Hanford, DC 104 S Daisy St Ste A, Salmon, ID 83467-4333 Ph: (208) 756-2202 |
Dr. Rebecca L Jergenson, DC, EMT Chiropractor Medicare: Medicare Enrolled Practice Location: 104 S Daisy St Ste A, Salmon, ID 83467 Phone: 208-756-2202 Fax: 208-756-2213 | |
Karli Keys, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1911 Main St, Salmon, ID 83467 Phone: 208-756-2211 | |
Salmon River Chiropractic Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 104 S Daisy St, Suite A, Salmon, ID 83467 Phone: 208-756-5000 | |
Dr. Lance Shane Ingwersen, D.C Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 104 S Daisy St, Suite A, Salmon, ID 83467 Phone: 208-756-5000 | |
Bradley Marx, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 104 S Daisy St Ste A, Salmon, ID 83467 Phone: 208-756-2202 | |
Mr. Brian A Barry, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 818 Main St, Suite F, Salmon, ID 83467 Phone: 208-756-1428 |