LILJENQUIST CHIROPRACTIC, P.A. (NPI# 1811295447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811295447 |
| Entity Type | Organization |
| Organization Name | LILJENQUIST CHIROPRACTIC, P.A. |
| Practice Address |
1700 Overland Avenue Burley ID 83318 |
| Practice Telephone | 2086782631 |
| Practice Fax Number | 2086783334 |
| Mailing Telephone | 2086782631 |
| Mailing Fax Number | 2086783334 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Authorized Official Name | CODY S. LILJENQUIST (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 2086782631 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | ACC-78 | ID | Other Service Providers |
| Y | 111N00000X | Chiropractor | CH1A577 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002663000 | 05 |
| Street Address |
1700 OVERLAND AVENUE |
| City | BURLEY |
| State | ID |
| Zip Code | 83318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902366834 | Pain & Spine Consultants | Clinic/Center | 1344 Hiland Avenue, Ste A, Burley, ID 83318 | 2019-03-25 |
| 1609335090 | Hurst Medical Pllc | Clinic/Center | 1700 Overland Ave Ste 1, Burley, ID 83318 | 2019-03-15 |
| 1831654243 | Mini-cassia Hearts 4 Seniors | In Home Supportive Care | 135 East 23rd Drive, Burley, ID 83318 | 2019-02-11 |
| 1841760493 | Burley Family Dental Pllc | Dentist | 2200 Parke Ave Ste 2, Burley, ID 83318 | 2018-11-27 |
| 1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
| 1285024497 | Albion Valley Health Clinic Inc. | Clinic/Center | 400 West 5th Street, Burley, ID 83318 | 2015-01-26 |
| 1124372370 | A Plus Solutions Center | Clinic/Center | 2311 Parke Ave. Unit 3, Suite 12, Burley, ID 83318 | 2012-11-08 |
| 1831442805 | A Plus Solutions Developmental Center LLC | Day Training, Developmentally Disabled Services | 2251 Overland Avenue, Suite Number 5, Burley, ID 83318 | 2012-10-16 |
| 1619258159 | Keleah Margrete Goldammer | Occupational Therapist | 2303 Parke Avenue, Burley, ID 83318 | 2011-08-29 |
| 1932490984 | Tamera Chatburn | Counselor | 531 East 5th St., Preferred Child and Family Services, Burley, ID 83318 | 2011-04-26 |
| Find all providers in zip 83318 | ||||
| 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 |
|---|---|---|---|---|
| 1184125288 | Jake W Sanford | Chiropractor | 1600 Overland Ave, Burley, ID 83318-2434 | 2018-02-23 |
| 1265650568 | Troy W Crane | Chiropractor | 2552 Overland Ave, Burley, ID 83318 | 2007-04-23 |
| 1669518791 | Harold Eugene Soulsby | Chiropractor | 1246 Oakley Avenue, Burley, ID 83318 | 2007-01-29 |
| 1467504092 | Ronald Christensen | Chiropractor | 1635 Overland Ave, Burley, ID 83318-2433 | 2007-01-16 |
| 1962599472 | Joshua Boone Olsen | Chiropractor | 2621 Overland Ave, Burley, ID 83318-2942 | 2006-10-06 |
| 1407948169 | Tyler S Hurst | Chiropractor | 1246 Oakley Ave, Burley, ID 83318-1840 | 2006-09-29 |
| 1255318739 | Lynn A Hansen | Chiropractor | 1210 Oakley Ave, Burley, ID 83318-1840 | 2005-12-27 |
| 1649271388 | Kenneth R Turner | Chiropractor | 1400 Normal Ave, Burley, ID 83318-1952 | 2005-08-03 |
| 1942705546 | Mini-cassia Chiropractic & Sports Medicine | Chiropractor | 1600 Overland Ave, Burley, ID 83318-2434 | 2018-03-26 |
| 1447694401 | Complete Chiropractic Pllc | Chiropractor | 1635 Overland Ave, Burley, ID 83318-2433 | 2013-04-22 |
| Find all providers in BURLEY | ||||
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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.