Individual
DR. MICHAEL JOSHUA MOORHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4660 N PENNGROVE WAY STE 110, MERIDIAN, ID 83646-8042
(208) 938-2992
(208) 938-3476
Mailing address
4660 N PENNGROVE WAY STE 110, MERIDIAN, ID 83646-8042
(208) 938-2992
(208) 938-3476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1109
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010149230
BLUE SHEILD
ID
01
—
C4389
BLUE CROSS
ID
Enumeration date
06/30/2006
Last updated
02/22/2022
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