OrganizationWoolner Enterprises Pc(<Unavail>)ChiropractorChiropractic ProvidersPractice Address750 W Ustick Rd Ste 100, Meridian, ID 83646-6133(208) 639-1397PECOS EnrollmentBased on the most recent information from CMS, provider Woolner Enterprises Pc 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 ID1124379508Provider TypeOrganizationFull NameWoolner Enterprises PcOther Name<Unavail>SubpartNoEnumeration Date9/26/2012Last Updated9/26/2012Contact InformationPractice LocationPractice Address750 W Ustick Rd Ste 100, Meridian, ID 83646-6133Phone(208) 639-1397Fax(208) 287-3656Mailing LocationMailing Address750 W Ustick Rd Ste 100, Meridian, ID 83646-6133Phone(208) 639-1397Fax(208) 287-3656Authorized OfficialNameWoolner, Chad Michael (Owner)Phone(208) 639-1397Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-1348Idaho