Organization
TOTAL WELLNESS CHIROPRACTIC AND HOLISTIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN JAY LINDSEY DC (OWNER)
(208) 452-7582
Entity
Organization
Contact information
Practice address
211 N WHITLEY DR, SUITE 4, FRUITLAND, ID 83619-2704
(208) 452-7582
Mailing address
211 N WHITLEY DR, SUITE 4, FRUITLAND, ID 83619-2704
(208) 452-7582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1197
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010157423
BLUE SHIELD
—
05
—
807598100
—
ID
01
—
C5638
BLUE CROSS
—
Enumeration date
05/31/2007
Last updated
03/10/2015
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