OrganizationRosenberg Chiropractic(<Unavail>)ChiropractorChiropractic ProvidersPractice Address1150 W State St, Suite 220, Boise, ID 83702-5327(208) 384-9070PECOS EnrollmentBased on the most recent information from CMS, provider Rosenberg Chiropractic 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 today at 11:13 AM.Profile DetailsProvider ID1215972005Provider TypeOrganizationFull NameRosenberg ChiropracticOther Name<Unavail>SubpartNoEnumeration Date6/17/2006Last Updated9/16/2008Contact InformationPractice LocationPractice Address1150 W State St, Suite 220, Boise, ID 83702-5327Phone(208) 384-9070Fax(208) 384-9057Mailing LocationMailing Address1150 W State St, Suite 220, Boise, ID 83702-5327Phone(208) 384-9070Fax(208) 384-9057Authorized OfficialNameRosenberg, James R (Doctor Of Chiropractic)Phone(208) 384-9070Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA1058IdahoProvider IdentifiersIDDescriptionIssuerID806980000DescriptionMedicaidIssuerUnlistedIdaho