Individual
DR. MICHAEL D. RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1843 S BROADWAY AVE STE 203A, BOISE, ID 83706-3862
(208) 345-3630
(208) 345-3640
Mailing address
1843 S. BROADWAY AVE, SUITE 203A, BOISE, ID 83706-3503
(208) 985-3233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1332
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15614453
CAQH
—
Enumeration date
02/04/2010
Last updated
12/20/2023
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