Healthcare Provider Details

I. General information

NPI: 1033103015
Provider Name (Legal Business Name): MAYER CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 W 1700 S SUITE B
CLEARFIELD UT
84015-8530
US

IV. Provider business mailing address

926 W 1700 S SUITE B
CLEARFIELD UT
84015-8530
US

V. Phone/Fax

Practice location:
  • Phone: 801-775-8880
  • Fax: 801-775-8890
Mailing address:
  • Phone: 801-775-8880
  • Fax: 801-775-8890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number27743031202
License Number StateUT

VIII. Authorized Official

Name: DR. STEVE DAVID MAYER
Title or Position: PRESIDENT
Credential: DC
Phone: 801-775-8880