Woolley, Matthew Mark

Woolley, Matthew Mark is an sole proprietor health care provider with primary practice located at 2061 E 9400 S , Sandy UT 84093-3128. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Woolley, Matthew Mark can be contacted via phone (801) 943-8308.

Contact Information

Primary practice address
2061 E 9400 S Sandy UT 84093-3128
Fax: (801) 438-0058
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5368537-1202 Utah

Profile Details

NPI number 1245373224
LBN Legal business name Woolley, Matthew Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 19 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 1245373224 NPPES
Utah Other 87039551 CHIROPRACTIC HEALTH PLAN
Utah MEDICAID 870395551005 CHIROPRACTIC HEALTH PLAN

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