Individual ProviderBenjamin IndiekChiropractorChiropractic ProvidersPractice Address3120 W Belltower Dr Ste 150, Meridian, ID 83646-7700(208) 846-8898PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Indiek 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 ID1467807982Provider TypeIndividualFull NameIndiek, BenjaminCredentialDCGenderMaleSole ProprietorNoEnumeration Date5/3/2016Last Updated8/15/2024Contact InformationPractice LocationPractice Address3120 W Belltower Dr Ste 150, Meridian, ID 83646-7700Phone(208) 846-8898FaxUnlisted FaxMailing LocationMailing Address3120 W Belltower Dr Ste 150, Meridian, ID 83646-7700Phone(208) 846-8898FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-2002IdahoCode111N00000XDescriptionChiropractorChiropractic ProvidersLicense01-05773KansasCode111N00000XDescriptionChiropractorChiropractic ProvidersLicense2016004526Missouri