| Legacy Chiropractic Pllc | |
|
20 N Fisher Park Way Ste 100, Eagle, ID 83616-4709 | |
| (206) 313-3733 | |
| Not Available |
| Full Name | Legacy Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 20 N Fisher Park Way Ste 100, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336713858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Brent W Symes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508940859 PECOS PAC ID: 9830197557 Enrollment ID: I20210817000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Chiropractic Pllc Po Box 996, Eagle, ID 83616-0002 Ph: (206) 313-3733 | Legacy Chiropractic Pllc 20 N Fisher Park Way Ste 100, Eagle, ID 83616-4709 Ph: (206) 313-3733 |
Dr. Patrick Norman Stromer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 742 E State St Ste 150, Eagle, ID 83616 Phone: 770-313-2023 | |
The Chiropractor At Castlebury Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3225 W Bavaria St Ste 101, Eagle, ID 83616 Phone: 208-884-8848 Fax: 208-884-8802 | |
Dr. Nicholas Grable, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 600 E State St Ste 100, Eagle, ID 83616 Phone: 208-939-6748 | |
Purpose Driven Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 435 E Shore Dr, Ste 110, Eagle, ID 83616 Phone: 208-938-9548 Fax: 208-938-9494 | |
Dr. Janet Louise Sermon, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1159 E. Iron Eagle Drive, Suite 100, Eagle, ID 83616 Phone: 208-322-3606 Fax: 208-327-2109 | |
Dr. John Knox Maltby Ii, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1299 E Iron Eagle Dr, Suite 130, Eagle, ID 83616 Phone: 208-939-6100 | |
Dr. Kraig Kurtis Knotts, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 547 S Fitness Pl, Suite 110, Eagle, ID 83616 Phone: 208-939-3986 Fax: 208-939-7186 |