Trent J Burrup Pc in West Jordan - Chiropractor
Trent J Burrup Pc - NPI 1558542100
Trent J Burrup Pc is a Chiropractor in West Jordan, Utah. Trent J Burrup Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Trent J Burrup Pc is 1558542100. The last update date is 2007-11-23.
Trent J Burrup Pc's current location address is 1847 W 9000 S # 105, West Jordan, Utah. You can contact this provider via phone number 8015670557 and fax number 8015670557. The mailing address for Trent J Burrup Pc is 1847 W 9000 S # 105, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Trent J Burrup Pc |
|---|---|
| Address | 1847 W 9000 S # 105, West Jordan, Utah |
| Phone Number | 8015670557 |
| Fax Number | 8015670557 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Burrup J Trent |
| Credentials | D.C. |
| Telephone Number | 8015670557 |
NPI Number Detail
| NPI Number | 1558542100 |
|---|---|
| Provider Enumeration Date | 2007-11-23 |
| Last Updated Date | 2007-11-23 |
Provider Mailing Address Detail
| Address | 1847 W 9000 S # 105 |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840888605 |
| Phone Number | 8015670557 |
| Fax Number | 8015670557 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 267200-1202 |
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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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Post Comment/ Review Below
What is the Trent J Burrup Pc's unique identification number?
The Trent J Burrup Pc has been assigned the NPI (National Provider Identifier) Number 1558542100 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Trent J Burrup Pc?
The Trent J Burrup Pc is physically situated at 1847 W 9000 S # 105, in the city of West Jordan, state of UT, with the postal code 840888605.
What is the Trent J Burrup Pc's specialty and taxonomy code?
The Trent J Burrup Pc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Trent J Burrup Pc receive its 1558542100 assignment from the Centers for Medicare & Medicaid Services?
The Trent J Burrup Pc was assigned its 1558542100 by the Centers for Medicare & Medicaid Services on 2007-11-23.
As of what date were the details pertaining to Trent J Burrup Pc last refreshed?
The information related to the Trent J Burrup Pc, including its address, specialty, and other relevant details, was last updated on 2007-11-23.