Lifetime Wellness Chiropractic Pllc
LBN: Lifetime Wellness Chiropractic Pllc
Lifetime Wellness Chiropractic Pllc is an health care organization with primary practice located at 2225 Teton Plz Ste B , Idaho Falls ID 83404-6494. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Lifetime Wellness Chiropractic Pllc can be contacted via phone (208) 552-5555, or through Williams, Brennan T via phone (208) 552-5555.
Contact Information
Primary practice address
2225 Teton Plz Ste B
Idaho Falls ID 83404-6494
Phone: (208) 552-5555
Fax:
Website:
Authorized official contact:
Name: Williams, Brennan T Doctor of Chiropractic (DC)
Phone: (208) 552-5555
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1397 | Idaho |
Profile Details
| NPI number | 1962734889 |
|---|---|
| LBN Legal business name | Lifetime Wellness Chiropractic Pllc |
| DBA Doing business as | |
| Authorized official | Williams, Brennan T Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 3rd, 2010 |
| Last updated | Jun 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962734889 | NPPES |
| Idaho | MEDICAID | 1962734889 |
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