Provider Demographics
NPI:1407110687
Name:COGNITIVE SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:COGNITIVE SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:C
Authorized Official - Last Name:WOODWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-938-1976
Mailing Address - Street 1:1859 S. TOPAZ WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642
Mailing Address - Country:US
Mailing Address - Phone:208-938-1976
Mailing Address - Fax:208-922-6478
Practice Address - Street 1:1859 S. TOPAZ WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642
Practice Address - Country:US
Practice Address - Phone:208-938-1976
Practice Address - Fax:208-922-6478
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIED WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-02
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1484111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty