Liljenquist, Joseph R
Liljenquist, Joseph R is an individual health care provider with primary practice located at 2210 Coronado St , Idaho Falls ID 83404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Liljenquist, Joseph R can be contacted via phone (208) 522-3355.Contact Information
Primary practice address
2210 Coronado St
Idaho Falls ID 83404
Phone: (208) 522-3355
Fax: (208) 522-6019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 3587652 | Ohio |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M9781 | Idaho |
Profile Details
| NPI number | 1558375568 |
|---|---|
| LBN Legal business name | Liljenquist, Joseph R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Sep 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558375568 | NPPES |
| Idaho | MEDICAID | 807709400 |
Popular Providers
-
Kobs, Jeffrey K
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Smith, Lyman S-W
3001 Edwards Mill Rd , Raleigh NC 27612-5243 -
Moore, Robert Keith
2831 New Hartford Rd , Owensboro KY 42303-1320 -
Rolle, Garrison A
3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405 -
Weight, Mark A
2355 Coronado St , Idaho Falls ID 83404-7407 -
Fields, Robert H
7301 Medical Center Drive Suite 400, West Hills CA 91307-1988 -
Sanchez, Anthony Richard
4350 Limelight Ave Ste 100 , Castle Rock CO 80109-8034 -
Dewing, Christopher Bateman
1610 E Schneidmiller Ave , Post Falls ID 83854-7065