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Individual

DR. JOSHUA E BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
207 N MAIN ST, SUITE 103, COLUMBIA, IL 62236-1755
(618) 281-9202
(618) 281-9203
Mailing address
207 N MAIN ST, SUITE 103, COLUMBIA, IL 62236-1755
(618) 281-9202
(618) 281-9203

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006732016
BLUE CROSS BLUE SHIELD
IL
01
224744
GHP
IL
01
666613
UNITED HEALTH CARE
IL
01
676123
HEALTHLINK
IL
01
7999590
AETNA
IL
01
P00148645
RAILROAD MEDICARE
IL
Enumeration date
12/28/2006
Last updated
07/08/2007
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