Wall, Nathan Randall

Wall, Nathan Randall is an individual health care provider with primary practice located at 12197 S Draper Gate Dr , Draper UT 84020-8078. He recently has only one registered license in Chiropractic Providers / Pediatric Chiropractor, which is considered as his primary health care specialty. Wall, Nathan Randall can be contacted via phone (801) 590-0600.

Contact Information

Primary practice address
12197 S Draper Gate Dr Draper UT 84020-8078
Phone: (801) 590-0600
Fax: (801) 590-0643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 6145802-1202 Utah

Profile Details

NPI number 1578810123
LBN Legal business name Wall, Nathan Randall
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Apr 4th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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