Bristlecone Chiropractic Pllc

LBN: Bristlecone Chiropractic Pllc
Bristlecone Chiropractic Pllc is an health care organization with primary practice located at 657 W 200 N , Cedar City UT 84720-2408. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Bristlecone Chiropractic Pllc can be contacted via phone (435) 592-4845, or through Petersen, James Tyler via phone (435) 592-4845.

Contact Information

Primary practice address
657 W 200 N Cedar City UT 84720-2408
Phone: (435) 592-4845
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petersen, James Tyler Doctor of Chiropractic (DC)
Phone: (435) 592-4845

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 7779072-1202 Utah

Profile Details

NPI number 1336447804
LBN Legal business name Bristlecone Chiropractic Pllc
DBA Doing business as
Authorized official Petersen, James Tyler Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2011
Last updated Mar 20th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336447804 NPPES
Utah Other U000073714 PTAN

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