Provider Demographics
NPI:1427293695
Name:OGDEN FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:OGDEN FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIXEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-627-2023
Mailing Address - Street 1:134 E 4600 S
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON TERRACE
Mailing Address - State:UT
Mailing Address - Zip Code:84405-5946
Mailing Address - Country:US
Mailing Address - Phone:801-627-2023
Mailing Address - Fax:801-627-2023
Practice Address - Street 1:134 E 4600 S
Practice Address - Street 2:
Practice Address - City:WASHINGTON TERRACE
Practice Address - State:UT
Practice Address - Zip Code:84405-5946
Practice Address - Country:US
Practice Address - Phone:801-627-2023
Practice Address - Fax:801-627-2023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6866287-1202261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care