1811347008 NPI number — 40TH STREET CHIROPRACTIC AND REHABILITATION, INC

Table of content: (NPI 1811347008)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811347008 NPI number — 40TH STREET CHIROPRACTIC AND REHABILITATION, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
40TH STREET CHIROPRACTIC AND REHABILITATION, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811347008
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
725 40TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH OGDEN
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84403-2235
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-627-0880
Provider Business Mailing Address Fax Number:
801-334-9332

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
725 40TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH OGDEN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84403-2235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-627-0880
Provider Business Practice Location Address Fax Number:
801-334-9332
Provider Enumeration Date:
06/17/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CONLIN
Authorized Official First Name:
PATRICK
Authorized Official Middle Name:
CAMPBELL
Authorized Official Title or Position:
CHIROPRACTIC PHYSICIAN
Authorized Official Telephone Number:
801-682-2765

Provider Taxonomy Codes

  • Taxonomy code: 111NR0400X , with the licence number:  361820-1202 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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