Genesis Chiropractic, Inc.

LBN: Genesis Chiropractic, Inc.
Genesis Chiropractic, Inc. is an health care organization with primary practice located at 1200 E 3300 S , Salt Lake City UT 84106-2522. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Genesis Chiropractic, Inc. can be contacted via phone (801) 485-2580, or through Fries, Tiffani T via phone (801) 485-2580.

Contact Information

Primary practice address
1200 E 3300 S Salt Lake City UT 84106-2522
Phone: (801) 485-2580
Fax: (801) 485-2587
Website:
Map and Directions
Authorized official contact:
Name: Fries, Tiffani T Doctor of Chiropractic (DC)
Phone: (801) 485-2580

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5005891-1202 Utah

Profile Details

NPI number 1245596097
LBN Legal business name Genesis Chiropractic, Inc.
DBA Doing business as
Authorized official Fries, Tiffani T Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2012
Last updated Apr 5th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245596097 NPPES
Utah MEDICAID 624033371001

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