Organization
BROADWAY CHIROPRACTIC CENTER PROFESSIONAL ASSOCIATION
Active
Other names
Rae Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD D RAE D.C. (OWNER/ PRESIDENT)
(208) 345-3630
Entity
Organization
Contact information
Practice address
1149 W BOISE AVE, BOISE, ID 83706-3503
(208) 345-3630
(208) 345-3640
Mailing address
1149 W BOISE AVE, BOISE, ID 83706-3503
(208) 345-3630
(208) 345-3640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C373
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010145978
BLUE SHIELD
ID
01
—
C9511
BLUE CROSS
ID
Enumeration date
02/07/2007
Last updated
01/27/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us