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Contact Information

ALLIANCE SOFT TISSUE CENTER
4700 N CLOVERDALE RD
SUITE 102
BOISE, ID83713-1081
 Phone: 208-322-7900
 Fax: 208-322-6405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ALLIANCE SOFT TISSUE CENTER

NPI Number 1306129002
LBN Legal business name ALLIANCE SOFT TISSUE CENTER
Authorized official DANIEL RACE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2011
Last updated 02/12/2013 - About 13 years ago
Identifiers
ID License # CHIA-1233
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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