Legacy Health Partners

LBN: Wight Chiropractic, Pa
Legacy Health Partners is an health care organization with primary practice located at 333 S. Woodruff Ave , Idaho Falls ID 83401. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Wight Chiropractic, Pa can be contacted via phone (208) 522-2591, or through Wight, Gary Christopher via phone (208) 522-2591.

Contact Information

Primary practice address
333 S. Woodruff Ave Idaho Falls ID 83401
Phone: (208) 522-2591
Fax: (208) 522-2591
Website:
Map and Directions
Authorized official contact:
Name: Wight, Gary Christopher Doctor of Chiropractic (DC)
Phone: (208) 522-2591

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA 1163 Idaho

Profile Details

NPI number 1184801946
LBN Legal business name Wight Chiropractic, Pa
DBA Doing business as Legacy Health Partners
Authorized official Wight, Gary Christopher Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2008
Last updated Apr 16th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184801946 NPPES
Idaho Other 1369151 MEDICARE GROUP #
Idaho Other C9672 MEDICARE GROUP #

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