Jonathan Eric Main in Meridian - Chiropractor
Jonathan Eric Main - NPI 1790810380
Jonathan Eric Main is a Chiropractor in Meridian, Idaho. Jonathan Eric Main practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jonathan Eric Main is 1790810380. The last update date is 2010-12-20.
Jonathan Eric Main's current location address is 2300 W Everest Ln, Meridian, Idaho. You can contact this provider via phone number 2088950858 and fax number 2088950561. The mailing address for Jonathan Eric Main is 2300 W Everest Ln, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Eric Main |
|---|---|
| Address | 2300 W Everest Ln, Meridian, Idaho |
| Phone Number | 2088950858 |
| Fax Number | 2088950561 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1790810380 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2010-12-20 |
Provider Mailing Address Detail
| Address | 2300 W Everest Ln |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836465925 |
| Phone Number | 2088950858 |
| Fax Number | 2088950561 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIA-991 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C3167 | ID | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Jonathan Eric Main's unique identification number?
The Jonathan Eric Main has been assigned the NPI (National Provider Identifier) Number 1790810380 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jonathan Eric Main is geographically located?
The Jonathan Eric Main is physically situated at the following location: 2300 W Everest Ln, Meridian, ID, 836465925.
What is Jonathan Eric Main's area of expertise and its corresponding taxonomy classification?
The Jonathan Eric Main's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jonathan Eric Main receive the assignment of its 1790810380 from the Centers for Medicare & Medicaid Services?
The Jonathan Eric Main was issued its 1790810380 by the Centers for Medicare & Medicaid Services on 2007-02-22.
When was the information regarding Jonathan Eric Main most recently updated?
The details pertaining to the Jonathan Eric Main, including its address, specialty, and other relevant information, were last refreshed on 2010-12-20.