Individual
R JAMES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
327 THAIN RD, LEWISTON, ID 83501-5331
(208) 743-5913
(208) 746-1894
Mailing address
327 THAIN RD, LEWISTON, ID 83501-5331
(208) 743-5913
(208) 746-1894
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-493
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000100008661
REGENCE BLUESHIELD OF IDA
ID
01
—
C4934
BLUE CROSS OF IDAHO
ID
Enumeration date
06/23/2005
Last updated
07/08/2007
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