Search › Idaho › 111N00000X
Jonathan Main, DC
NPI 1790810380 · on the registry since 2007
Practice
- Address
- 2300 W Everest Ln
Suite #175
Meridian, ID 83646 - Phone
- (208) 895-0858
- Fax
- (208) 895-0561
- Organisation at this address
- Jendy Pllc
The Kids' Dentist, Pllc
Full Life Chiropractic, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho