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:
Authorized official contact:
Name: Liljenquist, Joseph R Doctor of Medicine (MD)
Phone: (208) 522-3355
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144413154 | NPPES |
| Idaho | MEDICAID | 807709400 |
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