Rae Chiropractic Center

LBN: Broadway Chiropractic Center Professional Association
Rae Chiropractic Center is an health care organization with primary practice located at 1149 W Boise Ave , Boise ID 83706-3503. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Broadway Chiropractic Center Professional Association can be contacted via phone (208) 345-3630, or through Rae, Donald D via phone (208) 345-3630.

Contact Information

Primary practice address
1149 W Boise Ave Boise ID 83706-3503
Phone: (208) 345-3630
Fax: (208) 345-3640
Website:
Map and Directions
Authorized official contact:
Name: Rae, Donald D Doctor of Chiropractic (DC)
Phone: (208) 345-3630

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X C373 Idaho

Profile Details

NPI number 1487794541
LBN Legal business name Broadway Chiropractic Center Professional Association
DBA Doing business as Rae Chiropractic Center
Authorized official Rae, Donald D Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Jan 27th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487794541 NPPES
Idaho Other C9511 BLUE CROSS
Idaho Other 000010145978 BLUE CROSS

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