Michael Rae Chiropractic Pllc | |
1149 W Boise Ave, Boise, ID 83706-3503 | |
(208) 345-3630 | |
(208) 345-3640 |
Full Name | Michael Rae Chiropractic Pllc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1149 W Boise Ave, Boise, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265878136 | NPI | - | NPPES |
1194057802 | Other | ID | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA1332 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Michael Rae Chiropractic Pllc 1149 W Boise Ave, Boise, ID 83706-3503 Ph: (208) 345-3630 | Michael Rae Chiropractic Pllc 1149 W Boise Ave, Boise, ID 83706-3503 Ph: (208) 345-3630 |
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