| Liljenquist Chiropractic, P.a. | |
|
1700 Overland Avenue, Burley, ID 83318 | |
| (208) 678-2631 | |
| (208) 678-3334 |
| Full Name | Liljenquist Chiropractic, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1700 Overland Avenue, Burley, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811295447 | NPI | - | NPPES |
| 002663000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH1A577 (Idaho) | Primary |
| 171100000X | Acupuncturist | ACC-78 (Idaho) | Secondary |
| Provider Name | Cody S Liljenquist |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356409445 PECOS PAC ID: 0749467934 Enrollment ID: I20110616000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Liljenquist Chiropractic, P.a. 1700 Overland Avenue, Burley, ID 83318 Ph: (208) 678-2631 | Liljenquist Chiropractic, P.a. 1700 Overland Avenue, Burley, ID 83318 Ph: (208) 678-2631 |
Dr. Jake W Sanford, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1600 Overland Ave, Burley, ID 83318 Phone: 208-260-0917 Fax: 208-261-5004 | |
Scott Max Serr, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1210 Oakley Ave, Burley, ID 83318 Phone: 208-878-2273 | |
Dr. Erik R. Evans, CHIROPRACTOR Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2621 Overland Ave, Burley, ID 83318 Phone: 208-678-4100 Fax: 208-678-4101 | |
Dr. Lynn A Hansen, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1210 Oakley Ave, Burley, ID 83318 Phone: 208-878-2273 Fax: 208-878-2275 | |
Dr. Troy W Crane, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2552 Overland Ave, Burley, ID 83318 Phone: 208-677-9020 Fax: 208-322-2443 | |
Hansen Chiropractic And Neurology Health Center P C Chiropractor Medicare: Medicare Enrolled Practice Location: 1210 Oakley Ave, Burley, ID 83318 Phone: 208-878-2273 Fax: 208-878-2275 | |
Cody Shawn Liljenquist, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1700 Overland Ave, Burley, ID 83318 Phone: 208-678-2631 Fax: 208-678-2631 |