Individual ProviderChad Michael WoolnerChiropractorChiropractic ProvidersPractice Address750 W Ustick Rd, Suite 100, Meridian, ID 83646-6133(208) 376-0660(503) 419-8061PECOS EnrollmentBased on the most recent information from CMS, provider Chad Michael Woolner 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 ID1700027547Provider TypeIndividualFull NameWoolner, Chad MichaelTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date3/6/2009Last Updated10/22/2009Contact InformationPractice LocationPractice Address750 W Ustick Rd, Suite 100, Meridian, ID 83646-6133Phone(208) 376-0660Fax(208) 376-0350Mailing LocationMailing Address4228 E Race St, Meridian, ID 83646-6360Phone(503) 419-8061FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-1348Idaho