Provider Demographics
NPI:1689858151
Name:HELVEY CHIROPRACTIC
Entity Type:Organization
Organization Name:HELVEY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:HELVEY
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:801-465-7758
Mailing Address - Street 1:772 E 100 N # 6
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-2345
Mailing Address - Country:US
Mailing Address - Phone:801-465-7758
Mailing Address - Fax:
Practice Address - Street 1:772 E 100 N # 6
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-2345
Practice Address - Country:US
Practice Address - Phone:801-465-7758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT53751131202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU78929Medicare UPIN