Provider Demographics
NPI:1336301183
Name:NORTH OGDEN CHIROPRACTIC & WELLNESS, L.L.C.
Entity Type:Organization
Organization Name:NORTH OGDEN CHIROPRACTIC & WELLNESS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-391-9418
Mailing Address - Street 1:428 E 2600 N
Mailing Address - Street 2:STE 4
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2975
Mailing Address - Country:US
Mailing Address - Phone:801-776-3200
Mailing Address - Fax:
Practice Address - Street 1:428 E 2600 N
Practice Address - Street 2:
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-2975
Practice Address - Country:US
Practice Address - Phone:801-776-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4957561-1202261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center