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THE DIRTY DOZEN NPI 1548715378


NPI Information

NPI: 1548715378
Provider Name: THE DIRTY DOZEN

Doing Business As: TREMONTON CHIROPRACTIC CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
805 W MAIN ST STE C
TREMONTON, UT
ZIP 84337
Phone: (435) 257-0106
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THE DIRTY DOZEN is a primary care clinic center in Tremonton, UT. THE DIRTY DOZEN NPI is 1548715378. The provider is registered as an organization entity type.
The provider Is Doing Business As Tremonton Chiropractic Center.

The provider's business location address is:

805 W MAIN ST STE C
TREMONTON, UT
ZIP 84337-608
Phone: (435) 257-0106
Fax: (435) 257-0106

The provider's authorized official is Leland Phelps .
The authorized official title is Owner and has the following contact phone number (435) 257-0106.

The enumeration date for this NPI number is 8/22/2016 and was last updated on 8/22/2016.


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
1261QP2300XClinic/CenterPrimary Care9183824-1202UTAHYes

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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