Dr Wendell R Fackrell Pllc

LBN: Dr Wendell R Fackrell Pllc
Dr Wendell R Fackrell Pllc is an health care organization with primary practice located at 4145 Yellowstone Ave , Chubbuck ID 83202-2421. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr Wendell R Fackrell Pllc can be contacted via phone (801) 722-5380, or through Fackrell, Wendell via phone (801) 722-5380.

Contact Information

Primary practice address
4145 Yellowstone Ave Chubbuck ID 83202-2421
Phone: (801) 722-5380
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fackrell, Wendell Doctor of Optometry (OD)
Phone: (801) 722-5380

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1801171293
LBN Legal business name Dr Wendell R Fackrell Pllc
DBA Doing business as
Authorized official Fackrell, Wendell Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2011
Last updated Oct 17th, 2011 - about 15 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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