OrganizationMobile Chiropractic And Wellness PllcChiropractorChiropractic ProvidersPractice Address3784 N Chocaya Pl, Meridian, ID 83646-6075(208) 570-9388PECOS EnrollmentBased on the most recent information from CMS, provider Mobile Chiropractic And Wellness Pllc 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 ID1457885170Provider TypeOrganizationFull NameMobile Chiropractic And Wellness PllcSubpartNoEnumeration Date4/19/2017Last Updated4/19/2017Contact InformationPractice LocationPractice Address3784 N Chocaya Pl, Meridian, ID 83646-6075Phone(208) 570-9388FaxUnlisted FaxMailing LocationMailing Address3784 N Chocaya Pl, Meridian, ID 83646-6075Phone(208) 570-9388FaxUnlisted FaxAuthorized OfficialNameSt.Michel, Jillaine Dawn (Owner)Phone(208) 570-9388Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-1661Idaho