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:
Authorized official contact:
Name: Petersen, James Tyler Doctor of Chiropractic (DC)
Phone: (435) 592-4845
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336447804 | NPPES |
| Utah | Other | U000073714 | PTAN |
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