Boise Laser And Cosmetic Surgery Center Pc

LBN: Boise Laser And Cosmetic Surgery Center Pc
Boise Laser And Cosmetic Surgery Center Pc is an health care organization with primary practice located at 6077 N Eagle Rd , Boise ID 83713-0997. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as the primary health care specialty. Boise Laser And Cosmetic Surgery Center Pc can be contacted via phone (208) 939-9000, or through Rodgers, Bret J via phone (208) 939-9000.

Contact Information

Primary practice address
6077 N Eagle Rd Boise ID 83713-0997
Phone: (208) 939-9000
Fax: (208) 939-9580
Website:
Map and Directions
Authorized official contact:
Name: Rodgers, Bret J Doctor of Medicine (MD)
Phone: (208) 939-9000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X

Profile Details

NPI number 1649410218
LBN Legal business name Boise Laser And Cosmetic Surgery Center Pc
DBA Doing business as
Authorized official Rodgers, Bret J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2009
Last updated Nov 8th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649410218 NPPES
Idaho MEDICAID 806174700

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