Main, Jonathan Eric

Main, Jonathan Eric is an individual health care provider with primary practice located at 2300 W Everest Ln Suite #175, Meridian ID 83646-5925. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Main, Jonathan Eric can be contacted via phone (208) 895-0858.

Contact Information

Primary practice address
2300 W Everest Ln Suite #175 Meridian ID 83646-5925
Phone: (208) 895-0858
Fax: (208) 895-0561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-991 Idaho

Profile Details

NPI number 1790810380
LBN Legal business name Main, Jonathan Eric
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Dec 20th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790810380 NPPES
Idaho Other C3167 BLUE CROSS BLUE SHIELD

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