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PARK CHIROPRACTIC NPI 1962429670


NPI Information

NPI: 1962429670
Provider Name: PARK CHIROPRACTIC

Doing Business As: ADVANCED TECHNOLOGY SPINAL CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
174 W PARRISH LN
CENTERVILLE, UT
ZIP 84014
Phone: (801) 298-7330
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PARK CHIROPRACTIC is a chiropractor in Centerville, 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. PARK CHIROPRACTIC NPI is 1962429670. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Technology Spinal Center.

The provider's business location address is:

174 W PARRISH LN
CENTERVILLE, UT
ZIP 84014-821
Phone: (801) 298-7330

The provider's authorized official is Jerry Eugene Park .
The authorized official title is Owner and has the following contact phone number (801) 298-7330.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.


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
1111N00000XChiropractor174995-1202UTAHYes

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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