Provider Demographics
NPI:1427240993
Name:FROGLEY HEALTH & WELLNESS CENTER
Entity type:Organization
Organization Name:FROGLEY HEALTH & WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:H
Authorized Official - Last Name:FROGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-816-0332
Mailing Address - Street 1:10684 SOUTH RIVER PARKWAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095
Mailing Address - Country:US
Mailing Address - Phone:801-816-0332
Mailing Address - Fax:801-816-0331
Practice Address - Street 1:10684 SOUTH RIVER PARKWAY
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095
Practice Address - Country:US
Practice Address - Phone:801-816-0332
Practice Address - Fax:801-816-0331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT48592410602001OtherBCBS TRADITIONAL
UT48592410677001OtherBCBS OTHERS
UT214914OtherALTIUS
UT485924106001Medicaid
UT244741OtherDMBA
UT77248/38230OtherPEHP
UT87039551SFROtherEMIA
UT77248/38230OtherPEHP
UT=========OtherUHC
UT=========OtherBEECHSTREET