Wooden, Wesley Van
Wooden, Wesley Van is an individual health care provider with primary practice located at 5974 Fashion Point Dr Suite 110, South Ogden UT 84403-4699. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wooden, Wesley Van can be contacted via phone (801) 621-1667.Contact Information
Primary practice address
5974 Fashion Point Dr Suite 110
South Ogden UT 84403-4699
Phone: (801) 621-1667
Fax: (801) 475-6802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3650251202 | Utah |
Profile Details
| NPI number | 1912984725 |
|---|---|
| LBN Legal business name | Wooden, Wesley Van |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Mar 9th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912984725 | NPPES |
| Utah | Other | 204574521 | TAX IDENTIFICATION NUMBER |
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