| Willis Family Chiropractic, Llc | |
|
10451 W Garverdale Ct, Suite 201, Boise, ID 83704-5408 | |
| (208) 322-4114 | |
| (208) 322-4115 |
| Full Name | Willis Family Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10451 W Garverdale Ct, 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 |
|---|---|---|---|
| 1114191137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1268, CHIA-1267 (Idaho) | Primary |
| Provider Name | Chad C Willis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053598599 PECOS PAC ID: 7719055300 Enrollment ID: I20081009000566 |
| Provider Name | Nicole Willis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093992539 PECOS PAC ID: 0446328033 Enrollment ID: I20081009000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Willis Family Chiropractic, Llc 10451 W Garverdale Ct, Suite 201, Boise, ID 83704-5408 Ph: (208) 322-4114 | Willis Family Chiropractic, Llc 10451 W Garverdale Ct, Suite 201, Boise, ID 83704-5408 Ph: (208) 322-4114 |
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Dr. Benjamin Webb, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13909 W Wainwright Dr, Boise, ID 83713 Phone: 208-322-7900 | |
Dr. Gary D Musgrave, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3314 N. Cole Rd., Boise, ID 83704 Phone: 208-377-9930 Fax: 208-377-9932 | |
Dr. Luke A. Willett, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3040 N Five Mile Rd, Suite C, Boise, ID 83713 Phone: 208-321-8484 Fax: 208-321-5084 | |
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