Individual
DR. JOSHUA OLEN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6389 BONNER ST., BONNERS FERRY, ID 83805
(406) 291-9444
Mailing address
PO BOX 31, BONNERS FERRY, ID 83805-0031
(406) 291-9444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1222
MT
111N00000X
Chiropractor
Primary
CHIA-1401
ID
Other
Enumeration date
02/08/2010
Last updated
02/16/2010
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