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NPI Code Detail

MEDICARE: WEAR & ASSOCIATES DC PA

MEDICARE: WEAR & ASSOCIATES DC PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistACC106ID
2111N00000XChiropractorCHIA276ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C9487OTHERBLUE CROSS OF IDAHO
200001008304OTHERBLUE SHIELD OF IDAHO
3CS1067OTHERPALMETTO GBA
400001008304OTHERIDBLUE SHIELD
5C3100OTHERIDBLUE CROSS

General Provider Information

NPI Number : 1679567564
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEAR & ASSOCIATES DC PA
Provider Business Mailing Address
First Line : 124 12TH AVE RD
Second Line :
City : NAMPA
State : ID
Zip : 83686-5074
Country : US
Telephone Number : 208-466-5459
Fax Number : 208-466-5803
Provider Business Practice Location Address
First Line : 124 12TH AVE RD
Second Line :
City : NAMPA
State : ID
Zip : 83686-5074
Country : US
Telephone Number : 208-466-5459
Fax Number : 208-466-5803
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. JAMES WILSON WEAR
Credential : D.C.
Telephone Number : 208-466-5459
Provider Enumeration Date : 09/07/2005
Last Update Date : 04/09/2015

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Directions to “WEAR & ASSOCIATES DC PA ” Practice Location

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