Provider Demographics
NPI:1932282431
Name:JOYCE A MAJURE
Entity Type:Organization
Organization Name:JOYCE A MAJURE
Other - Org Name:JOYCE A. MAJURE M.D. & CHRISTOPHER A. MORENO M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:MAJURE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-743-7612
Mailing Address - Street 1:307 ST. JOHNS WAY
Mailing Address - Street 2:SUITE 11
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
Practice Address - Street 2:SUITE 11
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM5006208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DA7761OtherRAILROAD MEDICARE
WA7117229Medicaid
ID86207OtherBLUE CROSS OF IDAHO
DA7761OtherRAILROAD MEDICARE
ID86207OtherBLUE CROSS OF IDAHO
ID1377546Medicare PIN