OrganizationStorey Chiropractic Clinic PcChiropractorChiropractic ProvidersPractice Address50 S Broadway Ave, Suite A, Boise, ID 83702-7283(208) 345-2211PECOS EnrollmentBased on the most recent information from CMS, provider Storey Chiropractic Clinic Pc 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 ID1669782967Provider TypeOrganizationFull NameStorey Chiropractic Clinic PcSubpartNoEnumeration Date10/20/2010Last Updated12/10/2010Contact InformationPractice LocationPractice Address50 S Broadway Ave, Suite A, Boise, ID 83702-7283Phone(208) 345-2211Fax(208) 345-2097Mailing LocationMailing Address50 S Broadway Ave, Suite A, Boise, ID 83702-7283Phone(208) 345-2211Fax(208) 345-2097Authorized OfficialNameStorey, Ronald J (President)Phone(208) 345-2211Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA 554Idaho