Aegis Group Practice Llc

LBN: Aegis Group Practice Llc
Aegis Group Practice Llc is an health care organization with primary practice located at 4890 N Cloverdale Rd , Boise ID 83713-2401. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Aegis Group Practice Llc can be contacted via phone (800) 444-6845, or through Wilson, Misty S via phone (972) 372-6779.

Contact Information

Primary practice address
4890 N Cloverdale Rd Boise ID 83713-2401
Phone: (800) 444-6845
Fax: (479) 478-2852
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Misty S
Phone: (972) 372-6779

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1346949443
LBN Legal business name Aegis Group Practice Llc
DBA Doing business as
Authorized official Wilson, Misty S
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2023
Last updated Feb 27th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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