Salty Ice Llp is a
Family Medicine based in Boise, Idaho. Salty Ice Llp is licensed to practice in * (Not Available) (license number ) and their current practice location is
910 N Curtis Rd, Boise, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 917-9799.
NPI number for Salty Ice Llp is 1891350658 and their current mailing address is 910 N Curtis Rd, Boise, Idaho. Salty Ice Llp
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1891350658.
Healthcare Provider's Profile
Full Name | Salty Ice Llp |
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Type | Facility |
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Speciality | Family Medicine |
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Location | 910 N Curtis Rd, Boise, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891350658
- Provider Enumeration Date: 05/07/2019
- Last Update Date: 05/07/2019
Medical Identifiers
Medical identifiers for Salty Ice Llp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891350658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Salty Ice Llp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Salty Ice Llp 910 N Curtis Rd, Boise, ID 83706-1308 Ph: (208) 917-9799 | Salty Ice Llp 910 N Curtis Rd, Boise, ID 83706-1308 Ph: (208) 917-9799 |
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