Dirk S Woodmansee Dc Pc in West Jordan - Chiropractor

Dirk S Woodmansee Dc Pc - NPI 1013052380

Dirk S Woodmansee Dc Pc is a Chiropractor in West Jordan, Utah. Dirk S Woodmansee Dc Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dirk S Woodmansee Dc Pc is 1013052380. The last update date is 2020-08-22.

Dirk S Woodmansee Dc Pc's current location address is 2618 W 7800 S Ste 200, West Jordan, Utah. You can contact this provider via phone number 8015621531 and fax number 8015621534. The mailing address for Dirk S Woodmansee Dc Pc is 2618 W 7800 S Ste 200, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dirk S Woodmansee Dc Pc
Address 2618 W 7800 S Ste 200, West Jordan, Utah
Phone Number 8015621531
Fax Number 8015621534
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PRES
Authorized Official Name Woodmansee S. Dirk
Credentials DC
Telephone Number 8015621531

NPI Number Detail

NPI Number 1013052380
Provider Enumeration Date 2007-02-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2618 W 7800 S Ste 200
City West Jordan
State Utah (UT)
Post Code 840884213
Phone Number 8015621531
Fax Number 8015621534

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 973507121202
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
973507121202 UT UTAH STATE LIC.

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FAQs about Dirk S Woodmansee Dc Pc

What is the Dirk S Woodmansee Dc Pc's 1013052380?

The Dirk S Woodmansee Dc Pc's NPI (National Provider Identifier) Number is 1013052380. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Dirk S Woodmansee Dc Pc is physically located?

The Dirk S Woodmansee Dc Pc is physically situated at the following address: 2618 W 7800 S Ste 200, West Jordan, UT, 840884213.

What is the Dirk S Woodmansee Dc Pc's specialty and taxonomy code?

The Dirk S Woodmansee Dc Pc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1013052380 to Dirk S Woodmansee Dc Pc?

The Dirk S Woodmansee Dc Pc received its 1013052380 assignment from the Centers for Medicare & Medicaid Services on 2007-02-21.

As of what date were the details pertaining to Dirk S Woodmansee Dc Pc last refreshed?

The information related to the Dirk S Woodmansee Dc Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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