Cache Valley Chiropractic Clinic Llc
LBN: Cache Valley Chiropractic Clinic Llc
Cache Valley Chiropractic Clinic Llc is an health care organization with primary practice located at 169 N Gateway Dr Ste 223 , Providence UT 84332-9856. The organization recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as the primary health care specialty.
Cache Valley Chiropractic Clinic Llc can be contacted via phone (435) 752-2772, or through Erickson, Neil Louis via phone (435) 752-2772.
Contact Information
Primary practice address
169 N Gateway Dr Ste 223
Providence UT 84332-9856
Phone: (435) 752-2772
Fax: (435) 752-2878
Website:
Authorized official contact:
Name: Erickson, Neil Louis Doctor of Chiropractic (DC)
Phone: (435) 752-2772
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 169476-1202 | Utah |
Profile Details
| NPI number | 1902943863 |
|---|---|
| LBN Legal business name | Cache Valley Chiropractic Clinic Llc |
| DBA Doing business as | |
| Authorized official | Erickson, Neil Louis Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | May 20th, 2020 - about 4 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 | 1902943863 | NPPES |
| Utah | Other | 22321 | PEHP |
| Utah | Other | 10294 | PEHP |
| Utah | MEDICAID | 519720002009 | PEHP |
| Utah | Other | 94287113577001 | PEHP |
| Utah | Other | 870395551ER1 | PEHP |
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