Nicolas Asla, | |
403 S 11th St Ste 110, Boise, ID 83702-6968 | |
(208) 343-6900 | |
(208) 343-0642 |
Full Name | Nicolas Asla |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 6 Years |
Location | 403 S 11th St Ste 110, 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 |
---|---|---|---|
1780150292 | NPI | - | NPPES |
CHIA1890 | Other | ID | IDAHO STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA1890 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Idaho Chiropractic Group, Pllc | 6305942764 | 3 |
Provider Name | Idaho Chiropractic Group, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639280712 PECOS PAC ID: 6305942764 Enrollment ID: O20070501000245 |
Mailing Address | Practice Location Address |
---|---|
Nicolas Asla, 403 S 11th St Ste 110, Boise, ID 83702-6968 Ph: (208) 343-6900 | Nicolas Asla, 403 S 11th St Ste 110, Boise, ID 83702-6968 Ph: (208) 343-6900 |
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