Provider Demographics
NPI:1669415329
Name:HEALTH SOLUTIONS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:HEALTH SOLUTIONS CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-621-1667
Mailing Address - Street 1:5974 S FASHION POINT DR
Mailing Address - Street 2:SUITE #110
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4699
Mailing Address - Country:US
Mailing Address - Phone:801-621-1667
Mailing Address - Fax:801-605-3807
Practice Address - Street 1:5974 S FASHION POINT DR
Practice Address - Street 2:SUITE #110
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4699
Practice Address - Country:US
Practice Address - Phone:801-621-1667
Practice Address - Fax:801-605-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty