Boise Sports Chiropractic Clinic - Chiropractor in Boise, ID

Boise Sports Chiropractic Clinic is a Chiropractor - Orthopedic based in Boise, Idaho. Boise Sports Chiropractic Clinic is licensed to practice in Idaho (license number C-4918) and their current practice location is 3314 N Cole Rd, Boise, Idaho. It can be reached at their office (for appointments etc.) via phone at (208) 377-9930.

NPI number for Boise Sports Chiropractic Clinic is 1114124138 and their current mailing address is 3314 N Cole Rd, Boise, Idaho. Boise Sports Chiropractic Clinic does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1114124138.

Contact Information

Boise Sports Chiropractic Clinic
3314 N Cole Rd,
Boise, ID 83704-4403
(208) 377-9930
Not Available



Healthcare Provider's Profile

Full NameBoise Sports Chiropractic Clinic
TypeFacility
SpecialityChiropractor - Orthopedic
Location3314 N Cole Rd, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114124138
  • Provider Enumeration Date: 07/02/2007
  • Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for Boise Sports Chiropractic Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114124138NPI-NPPES
C-4918OtherIDIDAHO LICENSE NO.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor C-4918 (Idaho)Primary
111NN1001XChiropractor - Nutrition C-4918 (Idaho)Primary
111NR0400XChiropractor - Rehabilitation C-4918 (Idaho)Primary
111NS0005XChiropractor - Sports Physician C-4918 (Idaho)Primary
111NX0800XChiropractor - Orthopedic C-4918 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Boise Sports Chiropractic Clinic is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Boise Sports Chiropractic Clinic
3314 N Cole Rd,
Boise, ID 83704-4403

Ph: () -
Boise Sports Chiropractic Clinic
3314 N Cole Rd,
Boise, ID 83704-4403

Ph: (208) 377-9930

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Dr. Gary D Musgrave, D.C.
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Phone: 208-377-9930    Fax: 208-377-9932
Dr. Luke A. Willett, D.C.
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