Individual ProviderChase DudleyChiropractorChiropractic ProvidersPractice Address503 N 27th St, Boise, ID 83702-4704(208) 409-7302PECOS EnrollmentBased on the most recent information from CMS, provider Chase Dudley 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 yesterday at 11:47 AM.Profile DetailsProvider ID1386110385Provider TypeIndividualFull NameDudley, ChaseCredentialDCGenderMaleSole ProprietorNoEnumeration Date10/17/2018Last Updated10/17/2018Contact InformationPractice LocationPractice Address503 N 27th St, Boise, ID 83702-4704Phone(208) 409-7302FaxUnlisted FaxMailing LocationMailing Address503 N 27th St, Boise, ID 83702-4704Phone(208) 409-7302FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense1885Idaho