Individual
DR. JOHN RICHARD KNOWLES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7153 W EMERALD ST, BOISE, ID 83704-8620
(208) 376-1866
(208) 377-5265
Mailing address
7153 W EMERALD ST, BOISE, ID 83704-8620
(208) 376-1866
(208) 377-5265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-591
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010020078
REGENCE BLUE SHIELD
ID
01
—
C5915
BLUE CROSS OF IDAHO
ID
Enumeration date
11/22/2006
Last updated
07/08/2007
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