| Brown Family Chiropractic Llc | |
|
705 E Prairie Ave Ste B Hayden ID 83835-8640 | |
| (208) 518-8297 | |
| Not Available |
| Full Name | Brown Family Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 705 E Prairie Ave Ste B, Hayden, Idaho |
| Authorized Official Name and Position | Jackson Brown (DOCTOR/OWNER) |
| Authorized Official Contact | 2085187119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Family Chiropractic Llc 1801 E Front Ave Coeur D Alene ID 83814-5315 Ph: (208) 518-7119 | Brown Family Chiropractic Llc 705 E Prairie Ave Ste B Hayden ID 83835-8640 Ph: (208) 518-8297 |
| NPI Number | 1447727391 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 10/30/2018 |
| Medicare PECOS PAC ID | 0143566117 |
|---|---|
| Medicare Enrollment ID | O20190111001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447727391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jackson Batterson Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548737497 PECOS PAC ID: 7315283389 Enrollment ID: I20190111001682 |
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