Individual
DR. JONATHAN JAY LINDSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
211 N WHITLEY DR, STE. 4, FRUITLAND, ID 83619-2704
(208) 452-7582
Mailing address
211 N WHITLEY DR, STE. 4, FRUITLAND, ID 83619-2704
(208) 452-7582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1197
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010157423
BLUE SHIELD
ID
05
—
807598100
—
ID
01
—
C5822
BLUE CROSS
—
Enumeration date
07/25/2006
Last updated
10/25/2008
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