Provider Demographics
NPI:1154136448
Name:HEBER VALLEY ACCIDENT CLINIC, LLC
Entity type:Organization
Organization Name:HEBER VALLEY ACCIDENT CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEIF
Authorized Official - Middle Name:ERIK
Authorized Official - Last Name:NIELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:435-654-5008
Mailing Address - Street 1:380 E MAIN ST STE B-102
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:UT
Mailing Address - Zip Code:84049-6801
Mailing Address - Country:US
Mailing Address - Phone:435-654-5008
Mailing Address - Fax:435-654-5328
Practice Address - Street 1:380 E MAIN ST STE B-102
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:UT
Practice Address - Zip Code:84049-6801
Practice Address - Country:US
Practice Address - Phone:435-654-5008
Practice Address - Fax:435-654-5328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty