Liljenquist, John E

Liljenquist, John E is an individual health care provider with primary practice located at 2220 E 25Th St , Idaho Falls ID 83404-7542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Liljenquist, John E can be contacted via phone (208) 522-2996.

Contact Information

Primary practice address
2220 E 25Th St Idaho Falls ID 83404-7542
Phone: (208) 522-2996
Fax: (208) 523-6025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X M4220 Idaho

Profile Details

NPI number 1619977600
LBN Legal business name Liljenquist, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2005
Last updated Jun 2nd, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619977600 NPPES
Idaho Other 804012300 HEALTHY CONNECTIONS
Idaho Other 25852 HEALTHY CONNECTIONS
Idaho Other 113798100 HEALTHY CONNECTIONS
Idaho MEDICAID 002530600 HEALTHY CONNECTIONS
Idaho Other 110008760 HEALTHY CONNECTIONS
Idaho Other 34512 HEALTHY CONNECTIONS

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