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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790810380 | NPPES |
| Idaho | Other | C3167 | BLUE CROSS BLUE SHIELD |
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