MEDICARE: JOHN DEWIG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1261577	ID

General Provider Information

NPI Number	:	1881978617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN DEWIG

Provider Business Mailing Address
First Line	:	PO BOX 642
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83877-0642
Country	:	US
Telephone Number	:	208-603-9946
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 642
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83877-0642
Country	:	US
Telephone Number	:	208-603-9946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2011
Last Update Date	:	03/24/2026

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Directions to “ JOHN DEWIG ” Practice Location

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