Green Chiropractic Clinic Pc in Salt Lake City - Chiropractor
Green Chiropractic Clinic Pc - NPI 1669628129
Green Chiropractic Clinic Pc is a Chiropractor in Salt Lake City, Utah. Green Chiropractic Clinic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Green Chiropractic Clinic Pc is 1669628129. The last update date is 2015-05-11.
Green Chiropractic Clinic Pc's current location address is 2048 W 5400 S, Salt Lake City, Utah. You can contact this provider via phone number 8019685400 and fax number 8019685405. The mailing address for Green Chiropractic Clinic Pc is 2048 W 5400 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Chiropractic Clinic Pc |
|---|---|
| Address | 2048 W 5400 S, Salt Lake City, Utah |
| Phone Number | 8019685400 |
| Fax Number | 8019685405 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Green Kenneth Ralph |
| Credentials | D.C. |
| Telephone Number | 8019685400 |
NPI Number Detail
| NPI Number | 1669628129 |
|---|---|
| Provider Enumeration Date | 2008-08-14 |
| Last Updated Date | 2015-05-11 |
Provider Mailing Address Detail
| Address | 2048 W 5400 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841181428 |
| Phone Number | 8019685400 |
| Fax Number | 8019685405 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1053409235 |
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Definition: 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 inte |
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What is the Green Chiropractic Clinic Pc's unique identification number?
The Green Chiropractic Clinic Pc has been assigned the NPI (National Provider Identifier) Number 1669628129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Green Chiropractic Clinic Pc's physical address?
The Green Chiropractic Clinic Pc is physically located at 2048 W 5400 S, in the city of Salt Lake City, UT, with the postal code 841181428.
What is Green Chiropractic Clinic Pc's area of expertise and its corresponding taxonomy classification?
The Green Chiropractic Clinic Pc's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When was the Green Chiropractic Clinic Pc's 1669628129 issued?
The Green Chiropractic Clinic Pc's 1669628129 was issued on 2008-08-14.
When was the Green Chiropractic Clinic Pc's information last updated?
The Green Chiropractic Clinic Pc's information was last updated on 2015-05-11.