Individual ProviderMichael Joshua MoorhouseChiropractorChiropractic ProvidersPractice Address4660 N Penngrove Way Ste 110, Meridian, ID 83646-8042(208) 938-2992PECOS EnrollmentBased on the most recent information from CMS, provider Michael Joshua Moorhouse 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 2 days ago.Profile DetailsProvider ID1104855691Provider TypeIndividualFull NameMoorhouse, Michael JoshuaTitleDr.CredentialD.C.GenderMaleSole ProprietorNoEnumeration Date6/30/2006Last Updated2/22/2022Contact InformationPractice LocationPractice Address4660 N Penngrove Way Ste 110, Meridian, ID 83646-8042Phone(208) 938-2992Fax(208) 938-3476Mailing LocationMailing Address4660 N Penngrove Way Ste 110, Meridian, ID 83646-8042Phone(208) 938-2992Fax(208) 938-3476Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-1109IdahoProvider IdentifiersIDDescriptionIssuerID00010149230DescriptionOtherIssuerBLUE SHEILDIdahoIDC4389DescriptionOtherIssuerBLUE CROSSIdaho