Individual
DR. STEVEN JENS ADOLPHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
114 S MAPLE GROVE RD, BOISE, ID 83709-0648
(208) 376-2233
(208) 376-2233
Mailing address
114 S MAPLE GROVE RD, BOISE, ID 83709-0648
(208) 376-2233
(208) 376-2233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA636
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010021606
BLUE CROSS OF IDAHO
ID
Enumeration date
10/12/2006
Last updated
07/08/2007
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