Organization
JON R GRAY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON GRAY DC (CEO)
(208) 854-0600
Entity
Organization
Contact information
Practice address
13125 W PERSIMMON LN STE 175, BOISE, ID 83713-2081
(208) 854-0600
(208) 375-5545
Mailing address
13125 W PERSIMMON LN STE 175, BOISE, ID 83713-2081
(208) 854-0600
(208) 375-5545
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-931
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558377168
—
ID
01
—
1674447
PTAN
—
Enumeration date
11/28/2012
Last updated
11/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us