Fackrell, Lillian Nicole
Fackrell, Lillian Nicole is an individual health care provider with primary practice located at 6717 S 900 E Ste 101 , Midvale UT 84047-5755. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fackrell, Lillian Nicole can be contacted via phone (801) 784-8886.Contact Information
Primary practice address
6717 S 900 E Ste 101
Midvale UT 84047-5755
Phone: (801) 784-8886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 13763325 | Utah |
| Chiropractic Providers / Chiropractor | 111N00000X | 13763325-1202 | Utah |
Profile Details
| NPI number | 1801652367 |
|---|---|
| LBN Legal business name | Fackrell, Lillian Nicole |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2024 |
| Last updated | Aug 27th, 2024 - about 2 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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