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40TH STREET CHIROPRACTIC AND REHABILITATION INC NPI 1811347008


NPI Information

NPI: 1811347008
Provider Name: 40TH STREET CHIROPRACTIC AND REHABILITATION, INC

Doing Business As: ADVANCED INJURY SOLUTIONS

Classification: Chiropractor - 111NR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 46D2200300

Address:
725 40TH ST
SOUTH OGDEN, UT
ZIP 84403
Phone: (801) 627-0880
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40TH STREET CHIROPRACTIC AND REHABILITATION, INC is a rehabilitation chiropractor in South Ogden, UT. The provider is rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. 40TH STREET CHIROPRACTIC AND REHABILITATION, INC NPI is 1811347008. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Injury Solutions.

The provider's business location address is:

725 40TH ST
SOUTH OGDEN, UT
ZIP 84403-235
Phone: (801) 627-0880
Fax: (801) 334-9332

The provider's authorized official is Patrick Campbell Conlin .
The authorized official title is Chiropractic Physician and has the following contact phone number (801) 682-2765.

The CLIA number assigned to this NPI record is 46D2200300 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2016 and was last updated on 6/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NR0400XChiropractorRehabilitation361820-1202UTAHYes

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: 4/28/2024

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