| Legarde Chiropractic & Wellness, Pllc | |
|
230 Highway 5 N Ste 30 Mountain Home AR 72653-3030 | |
| (870) 580-0999 | |
| Not Available |
| Full Name | Legarde Chiropractic & Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 230 Highway 5 N Ste 30, Mountain Home, Arkansas |
| Authorized Official Name and Position | Faron Legarde (OWNER/CLINIC DIRECTOR) |
| Authorized Official Contact | 8705800999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legarde Chiropractic & Wellness, Pllc 230 Highway 5 N Ste 30 Mountain Home AR 72653-3030 Ph: () - | Legarde Chiropractic & Wellness, Pllc 230 Highway 5 N Ste 30 Mountain Home AR 72653-3030 Ph: (870) 580-0999 |
| NPI Number | 1992219190 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 11/27/2017 |
| Medicare PECOS PAC ID | 9638438963 |
|---|---|
| Medicare Enrollment ID | O20180112001944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992219190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 16047 (Arkansas) | Primary |
| Provider Name | Faron C Legarde |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144549437 PECOS PAC ID: 1052504875 Enrollment ID: I20180112001774 |
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