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WIGHT CHIROPRACTIC PA NPI 1184801946


NPI Information

NPI: 1184801946
Provider Name: WIGHT CHIROPRACTIC, PA

Doing Business As: LEGACY HEALTH PARTNERS

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 13D2150793

Address:
333 S. WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 522-2591
Get Directions

WIGHT CHIROPRACTIC, PA is a chiropractor in Idaho Falls, ID. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WIGHT CHIROPRACTIC, PA NPI is 1184801946. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Legacy Health Partners.

The provider's business location address is:

333 S. WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 522-2591
Fax: (208) 522-2591

The provider's authorized official is Gary Christopher Wight .
The authorized official title is President and has the following contact phone number (208) 522-2591.

The CLIA number assigned to this NPI record is 13D2150793 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 4/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCHIA 1163IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C9672OTHERIDAHOBLUE CROSS GROUP #
21369151OTHERIDAHOMEDICARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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