| Meridian Chiropractic Clinic Llc | |
|
323 W Pine Ave, Meridian, ID 83642-2238 | |
| (208) 888-5858 | |
| Not Available |
| Full Name | Meridian Chiropractic Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 323 W Pine Ave, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215285739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1514 (Idaho) | Primary |
| Provider Name | David Vereen Jessop |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972850212 PECOS PAC ID: 6103079702 Enrollment ID: I20130110000088 |
| Provider Name | Wade D Summers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689031080 PECOS PAC ID: 6305145541 Enrollment ID: I20160422000428 |
| Provider Name | Kasey J Griffith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861021875 PECOS PAC ID: 4486084977 Enrollment ID: I20200424000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Chiropractic Clinic Llc 323 W Pine Ave, Meridian, ID 83642-2238 Ph: (208) 220-3666 | Meridian Chiropractic Clinic Llc 323 W Pine Ave, Meridian, ID 83642-2238 Ph: (208) 888-5858 |
Todd Steven Pickman, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3085 E Magic View Dr. Suite 180, Meridian, ID 83642 Phone: 208-888-6077 Fax: 888-447-1415 | |
Alejandra Amarilis Irizarry, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14 W Franklin Rd, Meridian, ID 83642 Phone: 208-906-1564 Fax: 208-906-1464 | |
Dr. Taylor Keller, B.S., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5956 N Linder Rd., Suite 120, Meridian, ID 83646 Phone: 815-977-1931 | |
Brian Wayne Stutzman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1580 W 4th St Ste 103, Meridian, ID 83642 Phone: 208-888-9292 Fax: 208-888-3231 | |
Back 2 Life Medical Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2016 S Eagle Rd, Meridian, ID 83642 Phone: 208-887-6810 Fax: 208-887-6797 | |
Dr. Travis R Cunningham, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3715 E Overland Rd, Suite 105, Meridian, ID 83642 Phone: 208-888-0055 Fax: 208-888-5062 | |
Chad C Willis, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1565 E Leighfield Dr Ste 150, Meridian, ID 83646 Phone: 208-855-0585 |