Roots And Raices Functional Medicine

LBN: Roots And Raices Functional Medicine Inc.
Roots And Raices Functional Medicine is an health care organization with primary practice located at 1452 E Ridgeline Dr Ste 5 , South Ogden UT 84405-4949. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Roots And Raices Functional Medicine Inc. can be contacted via phone (435) 267-7668, or through Naylor, Susan M via phone (435) 267-7668.

Contact Information

Primary practice address
1452 E Ridgeline Dr Ste 5 South Ogden UT 84405-4949
Phone: (435) 267-7668
Fax: (385) 298-4027
Website:
Map and Directions
Authorized official contact:
Name: Naylor, Susan M FNP-C
Phone: (435) 267-7668

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1952955296
LBN Legal business name Roots And Raices Functional Medicine Inc.
DBA Doing business as Roots And Raices Functional Medicine
Authorized official Naylor, Susan M FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2019
Last updated Jan 2nd, 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.

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