Organization
ANACKER CLINIC OF CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN ANACKER D.C. (CHIROPRACTOR/PRESIDENT)
(208) 287-2299
Entity
Organization
Contact information
Practice address
300 MAIN ST, BOISE, ID 83702-7700
(208) 287-2299
Mailing address
PO BOX 2663, BOISE, ID 83701-2663
(208) 287-2299
(208) 287-2298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-997
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1378832
MEDICARE GROUP
ID
01
—
1674929
MEDICARE INDIVIDUAL
ID
Enumeration date
07/18/2007
Last updated
01/09/2018
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