| Creekside Chiropractic Pllc | |
|
1200 E 3300 S, Salt Lake City, UT 84106-2522 | |
| (801) 256-6675 | |
| Not Available |
| Full Name | Creekside Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1200 E 3300 S, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295006682 | NPI | - | NPPES |
| 8014253-1202 | Other | UT | CHIROPRACTIC LIC FOR UTAH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 8014253-1202 (Utah) | Primary |
| Provider Name | Eric Randall Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154628865 PECOS PAC ID: 8527287697 Enrollment ID: I20140925000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Chiropractic Pllc Po Box 522102, Salt Lake City, UT 84152-2102 Ph: (801) 256-6675 | Creekside Chiropractic Pllc 1200 E 3300 S, Salt Lake City, UT 84106-2522 Ph: (801) 256-6675 |
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