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Contact Information

FUNCTIONAL ENDOCRINOLOGY CLINIC
10969 RIVER FRONT PKWY # 108
SOUTH JORDAN, UT84095-3538
 Phone: 435-862-0152
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for FUNCTIONAL ENDOCRINOLOGY CLINIC · (Female)

NPI Number 1922301365
Status Active
Credentials
Entity Individual
Enumeration date 12/07/2010
Last updated 12/07/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 5791354-1202
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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