Individual ProviderJennifer Anne DornChiropractorChiropractic ProvidersPractice Address405 S 8th St Ste 290, Boise, ID 83702-7100(208) 342-7136PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Anne Dorn 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 ID1871929661Provider TypeIndividualFull NameDorn, Jennifer AnneTitleDr.CredentialDCGenderFemaleSole ProprietorNoEnumeration Date9/24/2013Last Updated9/24/2013Contact InformationPractice LocationPractice Address405 S 8th St Ste 290, Boise, ID 83702-7100Phone(208) 342-7136FaxUnlisted FaxMailing LocationMailing Address405 S 8th St Ste 290, Boise, ID 83702-7100Phone(208) 342-7136FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA1559IdahoCode111NP0017XDescriptionChiropractorChiropractic ProvidersLicenseCHIA1559Idaho