Liljenquist & Redd Orthopedic Surgery

LBN: East Idaho Orthopaedics, Pllc
Liljenquist & Redd Orthopedic Surgery is an health care organization with primary practice located at 2210 Coronado St , Idaho Falls ID 83404-7430. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. East Idaho Orthopaedics, Pllc can be contacted via phone (208) 522-3355, or through Liljenquist, Joseph R via phone (208) 522-3355.

Contact Information

Primary practice address
2210 Coronado St Idaho Falls ID 83404-7430
Phone: (208) 522-3355
Fax: (208) 522-6019
Website:
Map and Directions
Authorized official contact:
Name: Liljenquist, Joseph R Doctor of Medicine (MD)
Phone: (208) 522-3355

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M-10197 Idaho
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M9781 Idaho

Profile Details

NPI number 1144413154
LBN Legal business name East Idaho Orthopaedics, Pllc
DBA Doing business as Liljenquist & Redd Orthopedic Surgery
Authorized official Liljenquist, Joseph R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2007
Last updated Sep 1st, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144413154 NPPES
Idaho MEDICAID 807709400

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