National Provider Identifier Database

ALLIANCE PHYSICAL MEDICINE
Family


Contact Information

ALLIANCE PHYSICAL MEDICINE
13909 W WAINWRIGHT DRIVE
BOISE, ID83713
Phone: 208-322-7900
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ALLIANCE PHYSICAL MEDICINE

NPI Number 1518336650
Legal business name
LBN
ALLIANCE PHYSICAL MEDICINE
Authorized official BRITTANY STICKLER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/18/2015
Last updated 04/20/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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