Chad William Queen | Meridian, ID • PECOS Search

Chad William Queen

Chiropractor

Chiropractic Providers

3088 W Tenuta St, Meridian, ID 83646-3216

PECOS Enrollment

Based on the most recent information from CMS, provider Chad William Queen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1316425960
Provider Type
Individual
Full Name
Queen, Chad William
Title
Mr.
Credential
DC

Gender
Male
Sole Proprietor
No
Enumeration Date
8/4/2018
Last Updated
8/4/2018

Contact Information

Practice Location

3088 W Tenuta St, Meridian, ID 83646-3216

Unlisted Fax

Mailing Location

3088 W Tenuta St, Meridian, ID 83646-3216

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License CHIA1792 Idaho