Broadway Chiropractic Center Professional Association in Boise - Chiropractor
Broadway Chiropractic Center Professional Association - NPI 1487794541
Broadway Chiropractic Center Professional Association is a Chiropractor in Boise, Idaho. Broadway Chiropractic Center Professional Association practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Broadway Chiropractic Center Professional Association is 1487794541. The last update date is 2011-01-27.
Broadway Chiropractic Center Professional Association's current location address is 1149 W Boise Ave, Boise, Idaho. You can contact this provider via phone number 2083453630 and fax number 2083453640. The mailing address for Broadway Chiropractic Center Professional Association is 1149 W Boise Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Broadway Chiropractic Center Professional Association |
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Address | 1149 W Boise Ave, Boise, Idaho |
Phone Number | 2083453630 |
Fax Number | 2083453640 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/ PRE |
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Authorized Official Name | Rae D Donald |
Credentials | D.C. |
Telephone Number | 2083453630 |
NPI Number Detail
NPI Number | 1487794541 |
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Provider Enumeration Date | 2007-02-07 |
Last Updated Date | 2011-01-27 |
Provider Mailing Address Detail
Address | 1149 W Boise Ave |
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City | Boise |
State | Idaho (ID) |
Post Code | 837063503 |
Phone Number | 2083453630 |
Fax Number | 2083453640 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | C373 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
C9511 | ID | BLUE CROSS | |
10145978 | ID | BLUE SHIELD |
Post Comment/ Review Below
What is the Broadway Chiropractic Center Professional Association's unique identification number?
The Broadway Chiropractic Center Professional Association has been assigned the NPI (National Provider Identifier) Number 1487794541 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Broadway Chiropractic Center Professional Association?
The Broadway Chiropractic Center Professional Association is situated at 1149 W Boise Ave, in the city of Boise, state of ID, with the zip code 837063503.
What is Broadway Chiropractic Center Professional Association's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Broadway Chiropractic Center Professional Association's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487794541 to Broadway Chiropractic Center Professional Association?
The Broadway Chiropractic Center Professional Association received its 1487794541 assignment from the Centers for Medicare & Medicaid Services on 2007-02-07.
When was the information regarding Broadway Chiropractic Center Professional Association most recently updated?
The details pertaining to the Broadway Chiropractic Center Professional Association, including its address, specialty, and other relevant information, were last refreshed on 2011-01-27.