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Seasons Chiropractic LLC

NPI 1104494400ActiveOrganization· Chiropractor· Ammon, ID

Chiropractor in Ammon, Idaho, registered in NPPES in June 2021. The authorized official on file is Jacob Wooten, DC, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1104494400
StatusActive
Entity typeOrganization
NPI issuedJun 14, 2021
Last updated in NPPESNov 12, 2023
Certified by providerNov 12, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ID)

Medicare sources and data years

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