OrganizationAspen Chiropractic, PcChiropractorChiropractic ProvidersPractice Address1508 W Cayuse Creek Dr, Suite 100, Meridian, ID 83646-4795(208) 898-1382PECOS EnrollmentBased on the most recent information from CMS, provider Aspen Chiropractic, 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 ID1205093408Provider TypeOrganizationFull NameAspen Chiropractic, PcSubpartNoEnumeration Date5/16/2008Last Updated5/16/2008Contact InformationPractice LocationPractice Address1508 W Cayuse Creek Dr, Suite 100, Meridian, ID 83646-4795Phone(208) 898-1382FaxUnlisted FaxMailing LocationMailing Address1508 W Cayuse Creek Dr, Suite 100, Meridian, ID 83646-4795Phone(208) 898-1382FaxUnlisted FaxAuthorized OfficialNameLee, Jason Charles (Chiropractor)Phone(208) 841-4733Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-1293Idaho