Cody Shawn Liljenquist in Burley - Orthopedic
Cody Shawn Liljenquist - NPI 1356409445
Cody Shawn Liljenquist is a Orthopedic in Burley, Idaho. Cody Shawn Liljenquist practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Cody Shawn Liljenquist is 1356409445. The last update date is 2007-07-08.
Cody Shawn Liljenquist's current location address is 1700 Overland Ave, Burley, Idaho. You can contact this provider via phone number 2086782631 and fax number 2086782631. The mailing address for Cody Shawn Liljenquist is 1700 Overland Ave, Burley, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Cody Shawn Liljenquist |
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Address | 1700 Overland Ave, Burley, Idaho |
Phone Number | 2086782631 |
Fax Number | 2086782631 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1356409445 |
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Provider Enumeration Date | 2006-12-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1700 Overland Ave |
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City | Burley |
State | Idaho (ID) |
Post Code | 833182436 |
Phone Number | 2086782631 |
Fax Number | 2086782631 |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
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Taxonomy | 111Nx0800X |
Licence No | CHIA577 |
Definition: Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, mu |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2663000 | ID | -- |
Post Comment/ Review Below
What is the Cody Shawn Liljenquist's 1356409445?
The Cody Shawn Liljenquist's NPI (National Provider Identifier) Number is 1356409445. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Cody Shawn Liljenquist is physically located?
The Cody Shawn Liljenquist is physically situated at the following address: 1700 Overland Ave, Burley, ID, 833182436.
What is Cody Shawn Liljenquist's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Cody Shawn Liljenquist is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 111Nx0800X.
On what date did the Cody Shawn Liljenquist receive the assignment of its 1356409445 from the Centers for Medicare & Medicaid Services?
The Cody Shawn Liljenquist was issued its 1356409445 by the Centers for Medicare & Medicaid Services on 2006-12-04.
As of what date were the details pertaining to Cody Shawn Liljenquist last refreshed?
The information related to the Cody Shawn Liljenquist, including its address, specialty, and other relevant details, was last updated on 2007-07-08.