Provider Demographics
NPI:1346429768
Name:ADVANCED HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:ADVANCED HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MECHLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-302-9400
Mailing Address - Street 1:2332 W 12600 S
Mailing Address - Street 2:SUITE D
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-7161
Mailing Address - Country:US
Mailing Address - Phone:801-302-9400
Mailing Address - Fax:
Practice Address - Street 1:2332 W 12600 S
Practice Address - Street 2:SUITE D
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7161
Practice Address - Country:US
Practice Address - Phone:801-302-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty