| Dr Jordan Daniel Keck, DC | |
|
528 N State St, Shelley, ID 83274-1154 | |
| (208) 357-0333 | |
| (208) 357-2299 |
| Full Name | Dr Jordan Daniel Keck |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 11 Years |
| Location | 528 N State St, Shelley, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871950998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1673 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifetime Wellness Chiropractic Pllc | 6406991256 | 3 |
| Provider Name | Lifetime Wellness Chiropractic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962734889 PECOS PAC ID: 6406991256 Enrollment ID: O20100303001114 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Daniel Keck, DC 528 N State St, Shelley, ID 83274-1154 Ph: (208) 357-0333 | Dr Jordan Daniel Keck, DC 528 N State St, Shelley, ID 83274-1154 Ph: (208) 357-0333 |
Dr. Douglas Jed Peterson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 650 N State St, Suite #1, Shelley, ID 83274 Phone: 208-357-2225 Fax: 208-357-2224 | |
Randall Searle, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 120 N Emerson Ave, Shelley, ID 83274 Phone: 208-357-1949 | |
Dr. Aaron Walter Nippert, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 650 N State St Ste 1, Shelley, ID 83274 Phone: 208-757-7300 | |
Elevated Life Family Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 120 N Emerson Ave, Shelley, ID 83274 Phone: 208-357-1949 | |
Nippert Chiropractic Health Center, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 650 N State St Ste 1, Shelley, ID 83274 Phone: 214-288-5092 | |
Dr. Kade Keck, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 528 N State St, Shelley, ID 83274 Phone: 208-357-0333 | |
Dr. Brennan Todd Williams, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 528 N State St, Shelley, ID 83274 Phone: 208-357-0333 Fax: 208-357-2299 |