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OPTIMAL HEALTH DYNAMICS PC NPI 1699773671


NPI Information

NPI: 1699773671
Provider Name: OPTIMAL HEALTH DYNAMICS PC
Classification: Chiropractor - 111NI0900X
Entity Type: Organization

Specialization: Internist

Address:
1117 COUNTRY HILLS DR
SUITE 2
OGDEN, UT
ZIP 84403
Phone: (801) 476-1752
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OPTIMAL HEALTH DYNAMICS PC is an internist chiropractor in Ogden, UT. The provider is the chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. OPTIMAL HEALTH DYNAMICS PC NPI is 1699773671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1117 COUNTRY HILLS DR
SUITE 2
OGDEN, UT
ZIP 84403-559
Phone: (801) 476-1752
Fax: (801) 476-3075

The provider's authorized official is Corey J Sondrup .
The authorized official title is President and has the following contact phone number (801) 476-1752.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 5/12/2017.


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
1111NI0900XChiropractorInternist96317081-1202UTAHYes

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
1005715101MEDICARE ID-TYPE UNSPECIFIED
2U62190MEDICARE UPIN

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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