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PREMIER HEALTH SYSTEMS PLLC NPI 1891909636


NPI Information

NPI: 1891909636
Provider Name: PREMIER HEALTH SYSTEMS PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1149 W BOISE AVE
BOISE, ID
ZIP 83706
Phone: (208) 345-3630
Get Directions

PREMIER HEALTH SYSTEMS PLLC is a chiropractor in Boise, ID. The provider is 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 interrelationship with other body systems. PREMIER HEALTH SYSTEMS PLLC NPI is 1891909636. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1149 W BOISE AVE
BOISE, ID
ZIP 83706-503
Phone: (208) 345-3630
Fax: (208) 345-3640

The provider's authorized official is Brian J Rae .
The authorized official title is Doctor, Owner and has the following contact phone number (208) 345-3630.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 2/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered895294IDAHONo
2111N00000XChiropractorCHIA1046IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C9689OTHERIDAHOBLUE CROSS
2000010161294OTHERIDAHOREGENCE BLUE SHIELD
316753462MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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