Holladay Physical Medicine

LBN: P I C Incorporated
Holladay Physical Medicine is an health care organization with primary practice located at 4211 Holladay Blvd , Holladay UT 84124-2607. The organization recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as the primary health care specialty. P I C Incorporated can be contacted via phone (801) 272-8471, or through Gundersen, Bruce Van via phone (801) 272-8471.

Contact Information

Primary practice address
4211 Holladay Blvd Holladay UT 84124-2607
Phone: (801) 272-8471
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gundersen, Bruce Van DC, FACO
Phone: (801) 272-8471

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 161820-1202 Utah

Profile Details

NPI number 1487928222
LBN Legal business name P I C Incorporated
DBA Doing business as Holladay Physical Medicine
Authorized official Gundersen, Bruce Van DC, FACO
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2012
Last updated Feb 24th, 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.

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