Boost Ventures Pllc

LBN: Boost Ventures Pllc
Boost Ventures Pllc is an health care organization with primary practice located at 36 N 2Nd W , Rexburg ID 83440-1515. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Boost Ventures Pllc can be contacted via phone (208) 313-7569, or through Galbraith, Blake via phone (208) 313-7569.

Contact Information

Primary practice address
36 N 2Nd W Rexburg ID 83440-1515
Phone: (208) 313-7569
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Galbraith, Blake DPT
Phone: (208) 313-7569

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1740883172
LBN Legal business name Boost Ventures Pllc
DBA Doing business as
Authorized official Galbraith, Blake DPT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2020
Last updated Nov 18th, 2020 - about 6 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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