Conger, Theodore L.

Conger, Theodore L. is an sole proprietor health care provider with primary practice located at 747 E South Temple Ste 200 , Salt Lake City UT 84102-1217. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Conger, Theodore L. can be contacted via phone (801) 530-4802.

Contact Information

Primary practice address
747 E South Temple Ste 200 Salt Lake City UT 84102-1217
Phone: (801) 530-4802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 171096-1202 Utah

Profile Details

NPI number 1588676738
LBN Legal business name Conger, Theodore L.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated May 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588676738 NPPES
Utah Other 4550443 AETNA
Utah Other 350011548 AETNA
Utah Other TPRA10671 AETNA
Utah Other 107000433103 AETNA

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