| Daniel M Pewe DC PC | |
|
288 Highway 16 Ste 101 Emmett ID 83617-5082 | |
| (208) 365-2225 | |
| Not Available |
| Full Name | Daniel M Pewe DC PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 288 Highway 16 Ste 101, Emmett, Idaho |
| Authorized Official Name and Position | Daniel Michael Pewe (PRESIDENT) |
| Authorized Official Contact | 2083652225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel M Pewe DC PC 288 Highway 16 Ste 101 Emmett ID 83617-5082 Ph: (208) 365-2225 | Daniel M Pewe DC PC 288 Highway 16 Ste 101 Emmett ID 83617-5082 Ph: (208) 365-2225 |
| NPI Number | 1487829107 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 8224107495 |
|---|---|
| Medicare Enrollment ID | O20080514000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487829107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CHIA-724 (Idaho) | Primary |
| Provider Name | Daniel M Pewe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922012954 PECOS PAC ID: 3779652946 Enrollment ID: I20080514000799 |
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