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NPI Code Detail

MEDICARE: NORMAN CHIROPRACTIC, INC

MEDICARE: NORMAN CHIROPRACTIC, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor272296-1202UT

General Provider Information

NPI Number : 1750560215
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORMAN CHIROPRACTIC, INC
Provider Business Mailing Address
First Line : 880 HERITAGE PARK BLVD
Second Line : #130
City : LAYTON
State : UT
Zip : 84041-5676
Country : US
Telephone Number : 801-774-6602
Fax Number : 801-614-1210
Provider Business Practice Location Address
First Line : 880 HERITAGE PARK BLVD STE 130
Second Line :
City : LAYTON
State : UT
Zip : 84041-5674
Country : US
Telephone Number : 801-774-6602
Fax Number : 801-614-1210
Authorized Official
Title or Position : OWNER/CHIROPRACTOR
Name : DR. JEFFERY GLENN NORMAN
Credential :
Telephone Number : 801-774-6602
Provider Enumeration Date : 10/31/2007
Last Update Date : 03/08/2011

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Directions to “NORMAN CHIROPRACTIC, INC ” Practice Location

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