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:
Map and Directions
Authorized official contact:
Name: Williams, Brennan T Doctor of Chiropractic (DC)
Phone: (208) 552-5555

Health care specialties

SpecialtyCodeLicense #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 14 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 1962734889 NPPES
Idaho MEDICAID 1962734889

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