| Energetic | |
|
1003 N Orchard St, Boise, ID 83706-2231 | |
| (208) 376-3113 | |
| Not Available |
| Full Name | Energetic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1003 N Orchard St, 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 |
|---|---|---|---|
| 1467853366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1421 (Idaho) | Primary |
| Provider Name | James L Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942460845 PECOS PAC ID: 8325181233 Enrollment ID: I20100201000361 |
| Provider Name | Devin Scott Orton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255641734 PECOS PAC ID: 1759526759 Enrollment ID: I20130322000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Energetic 1003 N Orchard St, Boise, ID 83706-2231 Ph: () - | Energetic 1003 N Orchard St, Boise, ID 83706-2231 Ph: (208) 376-3113 |
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