Provider Demographics
NPI:1346574803
Name:ALVES FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:ALVES FAMILY CHIROPRACTIC
Other - Org Name:DE MELO CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:EMILY ALVES
Authorized Official - Last Name:DE MELO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-939-7710
Mailing Address - Street 1:12375 W CHINDEN BLVD
Mailing Address - Street 2:STE H
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-1371
Mailing Address - Country:US
Mailing Address - Phone:208-939-7710
Mailing Address - Fax:208-322-0339
Practice Address - Street 1:12375 W CHINDEN BLVD
Practice Address - Street 2:STE H
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-1371
Practice Address - Country:US
Practice Address - Phone:208-939-7710
Practice Address - Fax:208-322-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty