Provider Demographics
NPI:1023184207
Name:SALOIS, RICHARD EUGENE
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:EUGENE
Last Name:SALOIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 S 800 E
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-7232
Mailing Address - Country:US
Mailing Address - Phone:801-235-9977
Mailing Address - Fax:801-235-0949
Practice Address - Street 1:1275 S 800 E
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-7232
Practice Address - Country:US
Practice Address - Phone:801-235-9977
Practice Address - Fax:801-235-0949
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3471211202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU91617Medicare UPIN