Individual ProviderRobert Barry SamsChiropractorChiropractic ProvidersPractice Address1900 N Lakes Pl, Suite 100, Meridian, ID 83646-6231(208) 888-7242PECOS EnrollmentBased on the most recent information from CMS, provider Robert Barry Sams 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 ID1831256213Provider TypeIndividualFull NameSams, Robert BarryTitleDr.CredentialDCGenderMaleSole ProprietorNoEnumeration Date1/3/2007Last Updated11/3/2010Contact InformationPractice LocationPractice Address1900 N Lakes Pl, Suite 100, Meridian, ID 83646-6231Phone(208) 888-7242Fax(208) 888-7263Mailing LocationMailing AddressPO Box 837, Meridian, ID 83680-0837Phone(208) 888-7242Fax(208) 888-7263Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA410IdahoProvider IdentifiersIDDescriptionIssuerID38353DescriptionOtherIssuerOLD BLUE SHIELDID000010009125DescriptionOtherIssuerBLUE SHIELD