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Contact Information

OPTIMAL HEALTH DYNAMICS PC
1117 COUNTRY HILLS DR
SUITE 2
OGDEN, UT84403-2559
 Phone: 801-476-1752
 Fax: 801-476-3075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for OPTIMAL HEALTH DYNAMICS PC · (Female)

NPI # 1699773671
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2005
Last updated 05/12/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 96317081-1202
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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