Provider Demographics
NPI:1740369370
Name:QI INC
Entity type:Organization
Organization Name:QI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALIX
Authorized Official - Middle Name:P
Authorized Official - Last Name:BJORKLUND
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-982-5156
Mailing Address - Street 1:551 W CORDOVA RD
Mailing Address - Street 2:#817
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505
Mailing Address - Country:US
Mailing Address - Phone:505-982-5156
Mailing Address - Fax:505-982-2344
Practice Address - Street 1:539 HARKLE RD
Practice Address - Street 2:STE A
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505
Practice Address - Country:US
Practice Address - Phone:505-982-5156
Practice Address - Fax:505-982-2344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM316171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000361OtherNCCAOM
NM316OtherSTATE LIC NM