SearchIdaho111N00000X

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, Pa
Inferred 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