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HEALTH SOURCE OF TOOELE INC NPI 1669636817


NPI Information

NPI: 1669636817
Provider Name: HEALTH SOURCE OF TOOELE INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
352 N MAIN ST
TOOELE, UT
ZIP 84074
Phone: (435) 882-7200
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HEALTH SOURCE OF TOOELE INC is a chiropractor in Tooele, 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. HEALTH SOURCE OF TOOELE INC NPI is 1669636817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

352 N MAIN ST
TOOELE, UT
ZIP 84074-657
Phone: (435) 882-7200
Fax: (435) 882-1211

The provider's authorized official is Devron Levi Brown .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (435) 882-7200.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 2/29/2012.


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
1111N00000XChiropractor355071202UTAHYes

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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