Donald D Rae, DC | |
1149 W Boise Ave, Boise, ID 83706-3503 | |
(208) 345-3630 | |
(208) 345-3640 |
Full Name | Donald D Rae |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 46 Years |
Location | 1149 W Boise Ave, Boise, Idaho |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629173760 | NPI | - | NPPES |
C3779 | Other | ID | BLUE CROSS |
000010145978 | Other | ID | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | C373 (Idaho) | Primary |
Provider Name | Broadway Chiropractic Center Professional Association |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487794541 PECOS PAC ID: 8022009778 Enrollment ID: O20040520001273 |
Mailing Address | Practice Location Address |
---|---|
Donald D Rae, DC 1149 W Boise Ave, Boise, ID 83706-3503 Ph: (208) 345-3630 | Donald D Rae, DC 1149 W Boise Ave, Boise, ID 83706-3503 Ph: (208) 345-3630 |
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