Alicia R Borst is a Surgical in Boise, Idaho. Alicia R Borst practices all healthcare services and medical treatments related to Surgical. The NPI Number for Alicia R Borst is 1780641530. The last update date is 2013-04-03.
Alicia R Borst's current location address is 3960 W. Wainwright, Boise, Idaho. You can contact this provider via phone number 2083849023 and fax number 2083881683. The mailing address for Alicia R Borst is 3960 W. Wainwright, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alicia R Borst |
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Address | 3960 W. Wainwright, Boise, Idaho |
Phone Number | 2083849023 |
Fax Number | 2083881683 |
Sole Proprietor | N |
Credentials | P.A.C. |
NPI Number Detail
NPI Number | 1780641530 |
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Provider Enumeration Date | 2006-04-26 |
Last Updated Date | 2013-04-03 |
Provider Mailing Address Detail
Address | 3960 W. Wainwright |
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City | Boise |
State | Idaho (ID) |
Post Code | 83713 |
Phone Number | 2083849023 |
Fax Number | 2083881683 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | 787 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
0078PA | SC | -- |
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What is the Alicia R Borst's 1780641530?
The Alicia R Borst's NPI (National Provider Identifier) Number is 1780641530. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Alicia R Borst located?
The Alicia R Borst is located at 3960 W. Wainwright, Boise, ID 83713.
What is Alicia R Borst's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alicia R Borst's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date did Alicia R Borst receive its 1780641530 assignment from the Centers for Medicare & Medicaid Services?
The Alicia R Borst was assigned its 1780641530 on 2006-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Alicia R Borst, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Alicia R Borst, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-03.