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Justin Ray Cleverley (D.C.)

Dr. Justin Ray Cleverley (D.C.) is a health care provider specializes in Chiropractor. He.

profile-icon Basic Information

Practice Location 800 Main St, Buhl, ID 83316-1236, US
Practice Location Phone208-543-2005
Practice Location Fax208-543-4172
GenderMale
Specialty InChiropractor
Medical SchoolWestern States College Of Chiropractic
Graduation Year2000
NPI ?1386630531
PECOS ID5092953380
Enrollment IDI20130528000395
Entity TypeIndividual
Enumeration Date ? Sep 23, 2005
Last Update Date ? Mar 27, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Justin Ray Cleverley

SpecialtySpecializationLicenseLicense State
Chiropractor CHIA-902Idaho

Medicare-icon Medicare Participation of Justin Ray Cleverley

Accepts Medicare Assignment
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

legacy-id-icon Legacy Provider IDs of Justin Ray Cleverley

Provider IdIssuer StateIssuer TypeIssuer
000010027755IdahoOtherREGENCE BLUE SHIELD
C1575IdahoOtherBLUE CROSS
1674100IdahoMedicare Id-type Unspecified
U78642IdahoMedicare Upin
805752600IdahoMedicaid
1674100IdahoMedicare Upin