CORY SHANE LINDSTROM (NPI# 1265677587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265677587 |
| Entity Type | Individual |
| Full Name | CORY SHANE LINDSTROM |
| Credential | D.C. |
| Practice Address |
5216 E. Cleveland Blvd Ste G Caldwell ID 83607 |
| Mailing Address |
5216 E. Cleveland Blvd. Ste G Caldwell ID 83607 |
| Practice Telephone | 2084545500 |
| Practice Fax Number | 2084548877 |
| Mailing Telephone | 2084545500 |
| Mailing Fax Number | 2084548877 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2010-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA-1335 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 808502300 | 05 |
| Street Address |
5216 E. CLEVELAND BLVD STE G |
| City | CALDWELL |
| State | ID |
| Zip Code | 83607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609106012 | Cordell Denton Nebeker | Dentist | 4111 Clocktower Ave., Caldwell, ID 83607 | 2010-01-07 |
| 1154533727 | Reality Based Services | Case Management | 24151 El Paso Rd, Caldwell, ID 83607 | 2007-05-04 |
| 1407998271 | Patrick L Waite | Dentist | 4101 Clock Tower Ave, Caldwell, ID 83607 | 2007-02-12 |
| 1104276377 | Jae's Transportaion LLC | Non-emergency Medical Transport (VAN) | 14310 Tara St, Caldwell, ID 83607-1431 | 2016-06-17 |
| 1417224460 | Rebecca Anne Tormey | Physical Therapist | 1202 Talon Ct, Caldwell, ID 83607-1579 | 2011-11-18 |
| 1174677603 | Vallivue School District #139 | Local Education Agency (LEA) | 5207 S Montana Ave, Caldwell, ID 83607-1583 | 2007-01-22 |
| 1679026447 | Kimberly Drewrey, Aprn, Np-c | Point of Service | 5210 Cleveland Blvd, Suite 140 #344, Caldwell, ID 83607-1796 | 2016-07-28 |
| 1619007903 | Mandy R Redmond | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-03-06 |
| 1326263179 | Kira Ann Skroh | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-04-16 |
| 1891318622 | Casey Jay Milburn | Behavior Technician | 1109 Flint Dr, Caldwell, ID 83607-1859 | 2020-05-27 |
| Find all providers in zip 83607 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760034094 | Hunter Michael Heintzelman | Chiropractor | 1016 E Chicago St, Caldwell, ID 83605-5525 | 2019-07-16 |
| 1164987020 | Jordan Weaver | Chiropractor | 2523 S 10th Ave Ste 102, Caldwell, ID 83605-6760 | 2019-02-05 |
| 1285199166 | Payton Jordon | Chiropractor | 1016 E Chicago St Ste 105, Caldwell, ID 83605-5532 | 2019-02-05 |
| 1174001143 | Edgardo Jose Irizarry | Chiropractor | 2416 Cleveland Blvd, Caldwell, ID 83605-4434 | 2018-08-01 |
| 1497033666 | Stanley N Sears | Chiropractor | 2309 Terrace Dr, Caldwell, ID 83605-2256 | 2011-07-21 |
| 1013212539 | Geoffrey Edward Bossio | Chiropractor | 519 Bloomfield Ave Ste L21, Caldwell, NJ 07006-5510 | 2011-01-13 |
| 1447483516 | One Life Chiropractic | Chiropractor | 317 Happy Day Blvd, Suite 170, Caldwell, ID 83607-8115 | 2009-08-24 |
| 1700020518 | Ryan Gib Hein | Chiropractor | 5216 Cleveland Blvd, Suite G, Caldwell, ID 83607-8123 | 2009-04-23 |
| 1053587501 | James Richard Hubert | Chiropractor | 85 Bloomfield Ave, Caldwell, NJ 07006-5311 | 2008-05-05 |
| 1780704502 | John A Witt | Chiropractor | 164 Smull Ave, Caldwell, NJ 07006-7842 | 2007-03-29 |
| Find all providers in CALDWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.