WELLSPRING WEIGHT & WELLNESS LLC; NPI #1043056260

Contact Information

WELLSPRING WEIGHT & WELLNESS LLC

555 W OAK ST STE 1
SHELLEY, ID 83274-1161

Phone: 986-249-7537
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for WELLSPRING WEIGHT & WELLNESS LLC

NPI Number	`1043056260`
LBN Legal business name	WELLSPRING WEIGHT & WELLNESS LLC
Authorized official	THOMAS GEORGE - (CLINICAL DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/08/2024
Last updated	07/08/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WELLSPRING WEIGHT & WELLNESS LLC

Contact Information

Specialty

Primary Care

NPI Profile & details for WELLSPRING WEIGHT & WELLNESS LLC

Reviews for WELLSPRING WEIGHT & WELLNESS LLC