Individual
DR. JENNIFER MARIE LIDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,D.C.,P.C.
Contact information
Practice address
19924 JETTON RD, SUITE 101, CORNELIUS, NC 28031-8250
(704) 876-8446
(704) 896-8495
Mailing address
19924 JETTON RD, SUITE 101, CORNELIUS, NC 28031-8250
(704) 876-8446
(704) 896-8495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89085RN
—
NC
Enumeration date
09/14/2006
Last updated
05/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us