MEDICARE: ANNE M BRIGGS DC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIA-867	ID

General Provider Information

NPI Number	:	1447396486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE M BRIGGS DC LLC

Provider Business Mailing Address
First Line	:	1839 WILDWOOD ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83713-5146
Country	:	US
Telephone Number	:	208-322-3306
Fax Number	:	877-211-1313

Provider Business Practice Location Address
First Line	:	1839 WILDWOOD ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83713-5146
Country	:	US
Telephone Number	:	208-322-3306
Fax Number	:	877-211-1313

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. ANNE M BRIGGS
Credential	:	DC
Telephone Number	:	208-322-3306

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	12/05/2007

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