Individual
DR. JERRY BRENT CRAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8305 NORTHVIEW ST, BOISE, ID 83704-7133
(208) 377-2266
(208) 377-2268
Mailing address
8305 NORTHVIEW ST, BOISE, ID 83704-7133
(208) 377-2266
(208) 377-2268
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-381
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008192
BLUE SHIELD
—
01
—
C3811
BLUECROSS
ID
Enumeration date
01/19/2007
Last updated
01/16/2008
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