| Gjc Enterprises, Inc | |
|
2053 E Fairview Ave Ste 107 Meridian ID 83642-8044 | |
| (208) 895-0977 | |
| Not Available |
| Full Name | Gjc Enterprises, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2053 E Fairview Ave Ste 107, Meridian, Idaho |
| Authorized Official Name and Position | Greg Callis (PRESIDENT) |
| Authorized Official Contact | 2088950977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gjc Enterprises, Inc 2053 E Fairview Ave Ste 107 Meridian ID 83642-8044 Ph: (208) 895-0977 | Gjc Enterprises, Inc 2053 E Fairview Ave Ste 107 Meridian ID 83642-8044 Ph: (208) 895-0977 |
| NPI Number | 1790542959 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790542959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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