Provider Demographics
NPI:1841245354
Name:MAJURE, JOYCE ARLENE (MD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ARLENE
Last Name:MAJURE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 ST. JOHNS WAY SUITE 11
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501
Mailing Address - Country:US
Mailing Address - Phone:208-743-7612
Mailing Address - Fax:208-746-4802
Practice Address - Street 1:307 ST. JOHNS WAY SUITE 11
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501
Practice Address - Country:US
Practice Address - Phone:208-743-7612
Practice Address - Fax:208-746-4802
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM5006208600000X
WAMD00023384208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
82040040083501A002OtherTRICARE/TRIWEST
ID002599000Medicaid
WA8911902OtherWA CRIME VICTIMS PROGRAM
IDD0485OtherBLUE CROSS OF IDAHO
020005019OtherMEDICARE RAILROAD
ID000010002660OtherREGENCE BLUE SHIELD OF ID
WA0093025OtherWASHINGTON LABOR & INDUST
WA1014216Medicaid
020005019Medicare PIN
ID1118342Medicare PIN
WA0093025OtherWASHINGTON LABOR & INDUST
ID000010002660OtherREGENCE BLUE SHIELD OF ID