Individual ProviderJason Charles LeeChiropractorChiropractic ProvidersPractice Address1508 W Cayuse Creek Dr, Meridian, ID 83646-4795(208) 841-4733(208) 898-1382PECOS EnrollmentBased on the most recent information from CMS, provider Jason Charles Lee 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 ID1457520280Provider TypeIndividualFull NameLee, Jason CharlesTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date2/26/2008Last Updated7/14/2020Contact InformationPractice LocationPractice Address1508 W Cayuse Creek Dr, Meridian, ID 83646-4795Phone(208) 841-4733FaxUnlisted FaxMailing LocationMailing Address1532 W Cayuse Creek Dr, Meridian, ID 83646-4795Phone(208) 898-1382FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-1293Idaho