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Individual

DR. JASON BLAIN WELKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

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
4842701-1202
UT
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
CS661
BLUE CROSS IDAHO
ID
Enumeration date
10/25/2006
Last updated
09/19/2007
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