Utah Spine And Brain

LBN: Canyon Ridge Chiropractic, Inc.
Utah Spine And Brain is an health care organization with primary practice located at 520 Medical Dr Ste 200 , Bountiful UT 84010-8928. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Canyon Ridge Chiropractic, Inc. can be contacted via phone (801) 292-4400, or through Smith, Jason Larry via phone (801) 292-4400.

Contact Information

Primary practice address
520 Medical Dr Ste 200 Bountiful UT 84010-8928
Fax: (844) 308-6615
Website:
Authorized official contact:
Name: Smith, Jason Larry DC, MS, DACNB

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 369867-1202 Utah

Profile Details

NPI number 1427262195
LBN Legal business name Canyon Ridge Chiropractic, Inc.
DBA Doing business as Utah Spine And Brain
Authorized official Smith, Jason Larry DC, MS, DACNB
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Dec 6th, 2022 - about 3 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 1427262195 NPPES
Utah Other 52908255401001 BLUE CROSS BLUE SHIELD
Utah Other 1427262195 BLUE CROSS BLUE SHIELD
Utah Other 1558391169 BLUE CROSS BLUE SHIELD

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