OrganizationAnacker Clinic Of Chiropractic, P.C.ChiropractorChiropractic ProvidersPractice Address300 Main St, Boise, ID 83702-7700(208) 287-2299PECOS EnrollmentBased on the most recent information from CMS, provider Anacker Clinic Of Chiropractic, P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1114127149Provider TypeOrganizationFull NameAnacker Clinic Of Chiropractic, P.C.SubpartNoEnumeration Date7/18/2007Last Updated1/9/2018Contact InformationPractice LocationPractice Address300 Main St, Boise, ID 83702-7700Phone(208) 287-2299FaxUnlisted FaxMailing LocationMailing AddressPO Box 2663, Boise, ID 83701-2663Phone(208) 287-2299Fax(208) 287-2298Authorized OfficialNameAnacker, Jennifer Lynn (Chiropractor/President)Phone(208) 287-2299Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-997IdahoProvider IdentifiersIDDescriptionIssuerID1378832DescriptionOtherIssuerMEDICARE GROUPIdahoID1674929DescriptionOtherIssuerMEDICARE INDIVIDUALIdaho