| Bitterroot Regional Chiropractic Pllc | |
|
818 Main St Suite F Salmon ID 83467-4350 | |
| (208) 756-1428 | |
| Not Available |
| Full Name | Bitterroot Regional Chiropractic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 818 Main St, Salmon, Idaho |
| Authorized Official Name and Position | Brian Barry (MEMBER/MANAGER) |
| Authorized Official Contact | 2087561428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bitterroot Regional Chiropractic Pllc 818 Main St Suite F Salmon ID 83467-4350 Ph: (208) 756-1428 | Bitterroot Regional Chiropractic Pllc 818 Main St Suite F Salmon ID 83467-4350 Ph: (208) 756-1428 |
| NPI Number | 1083899124 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/08/2008 |
| Medicare PECOS PAC ID | 0446335558 |
|---|---|
| Medicare Enrollment ID | O20080313000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083899124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CHIA 1282 (Idaho) | Primary |
| Provider Name | Brian Barry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609962208 PECOS PAC ID: 6002847530 Enrollment ID: I20080313000635 |
| Provider Name | Karli Keys |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164062014 PECOS PAC ID: 6103252366 Enrollment ID: I20200214002050 |
| Provider Name | Jerome F Inghilterra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306264452 PECOS PAC ID: 3577982719 Enrollment ID: I20201007001807 |
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