Individual
JOSHUA BOONE OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2621 OVERLAND AVE, BURLEY, ID 83318-2942
(208) 678-4100
(208) 678-4101
Mailing address
PO BOX 403, HAGERMAN, ID 83332-0403
(208) 731-6241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-996
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807010300
—
ID
Enumeration date
10/06/2006
Last updated
08/20/2024
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