Wasatch Optimal Wellness Clinic Llc

LBN: Wasatch Optimal Wellness Clinic Llc
Wasatch Optimal Wellness Clinic Llc is an health care organization with primary practice located at 1716 N Highway 40 Ste 200 , Heber City UT 84032-4677. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Wasatch Optimal Wellness Clinic Llc can be contacted via phone (435) 800-6969, or through Fogg, Benjamin via phone (801) 712-2535.

Contact Information

Primary practice address
1716 N Highway 40 Ste 200 Heber City UT 84032-4677
Phone: (435) 800-6969
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fogg, Benjamin Doctor of Medicine (MD)
Phone: (801) 712-2535

Health care specialties

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

Profile Details

NPI number 1508619040
LBN Legal business name Wasatch Optimal Wellness Clinic Llc
DBA Doing business as
Authorized official Fogg, Benjamin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2024
Last updated May 6th, 2024 - about last year

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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