Look up the most recent NPI and PECOS records

Nicolas Asla

Chiropractor

Chiropractic Providers

403 S 11th St Ste 110, Boise, ID 83702-6968

PECOS Enrollment

Based on the most recent information from CMS, provider Nicolas Asla does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1780150292
Provider Type
Individual
Full Name
Asla, Nicolas
Gender
Male

Sole Proprietor
Yes
Enumeration Date
10/23/2018
Last Updated
10/23/2018

Contact Information

Practice Location

403 S 11th St Ste 110, Boise, ID 83702-6968

(208) 343-6900

(208) 343-0642

Mailing Location

403 S 11th St Ste 110, Boise, ID 83702-6968

(208) 343-6900

(208) 343-0642

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License CHIA1890 Idaho

Provider Identifiers

ID	Description	Issuer
ID CHIA1890	Description Other	Issuer IDAHO STATE LICENSE Idaho

Nicolas Asla

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Personal Care Chiropractic Clinics P A

Uker, Michael

Ryan Chiropractic Pllc

Storey, Ronald J

Dudley, Chase

Casey Chiropractic Pa

Adio Chiropractic

Rosenberg, James R

Wilmott, Lauren Alexandra

Storey Chiropractic Clinic Pc