Chad C Willis (NPI# 1053598599, PAC ID# 7719055300) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1053598599 |
| PAC ID by PECOS | 7719055300 |
| Professional Enrollment ID | I20081009000566 |
| Full Name | Chad C Willis |
| Organization Legal Name | WILLIS FAMILY CHIROPRACTIC, LLC |
| Address |
10451 W Garverdale Ct Suite 201 Boise ID 83704-5475 |
| Phone Number | 2083224114 |
| Gender | M |
| Medical School | CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES |
| Graduation Year | 2007 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 3678641719 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 10451 W Garverdale Ct, Suite 201, Boise, ID 83704-5475 | 2083224114 | WILLIS FAMILY CHIROPRACTIC, LLC |
| Organization Legal Name | WILLIS FAMILY CHIROPRACTIC, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Willis | Chiropractic | Willis Family Chiropractic, LLC | 10451 W Garverdale Ct, Suite 201, Boise, ID 83704-5475 |
| Street Address |
10451 W GARVERDALE CT SUITE 201 |
| City | BOISE |
| State | ID |
| Zip | 83704-5475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Lee Couchman | Chiropractic | 10451 W Garverdale Ct, Suite 204, Boise, ID 83704-5475 | |
| James Elgin Hollingsworth | Chiropractic | 10451 W Garverdale Ct, Suite 203, Boise, ID 83704-5475 | |
| Nicole Willis | Chiropractic | Willis Family Chiropractic, LLC | 10451 W Garverdale Ct, Suite 201, Boise, ID 83704-5475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Adrian J Curnow | Pediatric Medicine | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Julia K Bouchard | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Steven J Fonken | Interventional Cardiology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, Boise, ID 83704-0107 |
| Ellis J Salloum | Vascular Surgery | Saint Alphonsus Regional Medical Center Inc | 6140 W Curtisian Ave, Boise, ID 83704-0109 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| Noah Blue Edvalson | Chiropractic | 3224 N Maple Grove Rd, Boise, ID 83704-4214 | |
| Christopher A Waters | Clinical Psychologist | Living Hope Clinic Inc | 3308 N Cole Rd A, Boise, ID 83704-4407 |
| Charles M Rice | Psychologist, Clinical | 3308 N Cole Rd, Suite A, Boise, ID 83704-4407 | |
| Find all physicians in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BOISE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Chad C Willis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.