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BOISE IMAGE ENHANCEMENT CENTRE INC. NPI 1487926564


NPI Information

NPI: 1487926564
Provider Name: BOISE IMAGE ENHANCEMENT CENTRE, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9382 W OVERLAND RD
BOISE, ID
ZIP 83709
Phone: (208) 375-1221
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BOISE IMAGE ENHANCEMENT CENTRE, INC. is a general practice in Boise, ID. BOISE IMAGE ENHANCEMENT CENTRE, INC. NPI is 1487926564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9382 W OVERLAND RD
BOISE, ID
ZIP 83709-505
Phone: (208) 375-1221

The provider's authorized official is Connie Schnebly .
The authorized official title is Ceo and has the following contact phone number (208) 375-1221.

The enumeration date for this NPI number is 2/3/2012 and was last updated on 2/3/2012.


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
1208D00000XGeneral PracticeM4612IDAHOYes

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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