Provider Demographics
NPI:1013001635
Name:BUERGER, MONIKA ANN (DC)
Entity type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:ANN
Last Name:BUERGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:RIGBY
Mailing Address - State:ID
Mailing Address - Zip Code:83442-0053
Mailing Address - Country:US
Mailing Address - Phone:208-346-7763
Mailing Address - Fax:208-904-2746
Practice Address - Street 1:630 S WOODRUFF AVE STE A
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83401-6472
Practice Address - Country:US
Practice Address - Phone:208-346-7763
Practice Address - Fax:208-904-2746
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1367111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0219130OtherBLUE SHIELD ID NUMBER
CADC0219130OtherBLUE SHIELD ID NUMBER
CAU33470Medicare UPIN