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MARK JOLLEY P.C. NPI 1669627188


NPI Information

NPI: 1669627188
Provider Name: MARK JOLLEY, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2454 MONROE BLVD
OGDEN, UT
ZIP 84401
Phone: (801) 332-9777
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MARK JOLLEY, P.C. is a chiropractor in Ogden, UT. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MARK JOLLEY, P.C. NPI is 1669627188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2454 MONROE BLVD
OGDEN, UT
ZIP 84401-506
Phone: (801) 332-9777
Fax: (801) 605-3715

The provider's authorized official is Mark A Jolley .
The authorized official title is Owner and has the following contact phone number (801) 332-9777.

The enumeration date for this NPI number is 11/25/2008 and was last updated on 12/19/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor5216116-1202UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529510508001MEDICAIDUTAH
200-5751501MEDICARE PINUTAH

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: 4/28/2024

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