Individual ProviderJames R RosenbergChiropractorChiropractic ProvidersPractice Address1150 W State St, Suite 220, Boise, ID 83702-5327(208) 384-9070PECOS EnrollmentBased on the most recent information from CMS, provider James R Rosenberg 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 ID1598878159Provider TypeIndividualFull NameRosenberg, James RCredentialD.C.GenderMaleSole ProprietorNoEnumeration Date8/17/2006Last Updated12/27/2011Contact InformationPractice LocationPractice Address1150 W State St, Suite 220, Boise, ID 83702-5327Phone(208) 384-9070Fax(208) 384-9057Mailing LocationMailing Address1150 W State St, Suite 220, Boise, ID 83702-5327Phone(208) 384-9070Fax(208) 384-9057Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA1058IdahoProvider IdentifiersIDDescriptionIssuerID806980000DescriptionMedicaidIssuerUnlistedIdaho