Wasatch Functional Medicine

LBN: Wasatch Functional Medicine
Wasatch Functional Medicine is an health care organization with primary practice located at 5711 S 1475 E Ste 201 , South Ogden UT 84403-5185. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Wasatch Functional Medicine can be contacted via phone (801) 332-9034, or through Pierce, Catherine Kelly via phone (801) 332-9034.

Contact Information

Primary practice address
5711 S 1475 E Ste 201 South Ogden UT 84403-5185
Phone: (801) 332-9034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Catherine Kelly FNP-C
Phone: (801) 332-9034

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1396499414
LBN Legal business name Wasatch Functional Medicine
DBA Doing business as
Authorized official Pierce, Catherine Kelly FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2022
Last updated Feb 8th, 2022 - about 2 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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