Healthcare Provider Details

I. General information

NPI: 1013001635
Provider Name (Legal Business Name): MONIKA ANN BUERGER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 S WOODRUFF AVE STE A
IDAHO FALLS ID
83401-6472
US

IV. Provider business mailing address

PO BOX 53
RIGBY ID
83442-0053
US

V. Phone/Fax

Practice location:
  • Phone: 208-346-7763
  • Fax: 208-904-2746
Mailing address:
  • Phone: 208-346-7763
  • Fax: 208-904-2746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIA-1367
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: