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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

NPI # 1699773671
LBN Legal business name OPTIMAL HEALTH DYNAMICS PC
Authorized official COREY SONDRUP - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2005
Last updated 05/12/2017 - About 9 years ago
Identifiers
UT License # 96317081-1202
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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