Premier Health Systems Pllc in Boise - Dietitian, Registered
Premier Health Systems Pllc - NPI 1891909636
Premier Health Systems Pllc is a Dietitian, Registered in Boise, Idaho. Premier Health Systems Pllc practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Premier Health Systems Pllc is 1891909636. The last update date is 2008-02-28.
Premier Health Systems Pllc'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 Premier Health Systems Pllc is 1149 W Boise Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Premier Health Systems Pllc |
---|---|
Address | 1149 W Boise Ave, Boise, Idaho |
Phone Number | 2083453630 |
Fax Number | 2083453640 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DOCTOR, OW |
---|---|
Authorized Official Name | Rae J Brian |
Credentials | D.C. |
Telephone Number | 2083453630 |
NPI Number Detail
NPI Number | 1891909636 |
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Provider Enumeration Date | 2007-05-10 |
Last Updated Date | 2008-02-28 |
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 | Dietitian, Registered |
---|---|
Taxonomy | 133V00000X |
Licence No | 895294 |
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
C9689 | ID | BLUE CROSS | |
10161294 | ID | REGENCE BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Premier Health Systems Pllc by the Centers for Medicare & Medicaid Services?
The Premier Health Systems Pllc has been assigned the NPI (National Provider Identifier) 1891909636 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Premier Health Systems Pllc is located?
The Premier Health Systems Pllc is situated at the following address: 1149 W Boise Ave, Boise, ID, 837063503.
What is Premier Health Systems Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Premier Health Systems Pllc is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891909636 to Premier Health Systems Pllc?
The Centers for Medicare & Medicaid Services assigned the 1891909636 to Premier Health Systems Pllc on 2007-05-10.
As of what date were the Premier Health Systems Pllc's details last updated?
The information pertaining to the Premier Health Systems Pllc, including its address, specialty, and other details, was most recently updated on 2008-02-28.
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