Organization
DR. JASON B. WELKER, D.C. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BLAIN WELKER DC (PRESIDENT)
(208) 852-2875
Entity
Organization
Contact information
Practice address
1514 S 800 W, SUITE 100, PRESTON, ID 83263-5444
(208) 852-2875
(253) 563-5264
Mailing address
1514 S 800 W, SUITE 100, PRESTON, ID 83263-5444
(208) 852-2875
(253) 563-5264
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1225
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010159993
BLUE SHIELD OF IDAHO
ID
01
—
48517
ALTIUS
UT
01
—
63907
PEHP
UT
01
—
870395551JW1
EDUCATORS MUTUAL
UT
01
—
C5661
BLUE CROSS IDAHO
ID
Enumeration date
09/24/2007
Last updated
09/24/2007
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