Live Well Chiropractic , P.c. | |
3384 W 4600 S Ste 1, West Haven, UT 84401-9222 | |
(801) 731-9899 | |
(801) 731-9897 |
Full Name | Live Well Chiropractic , P.c. |
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Type | Facility |
Speciality | Clinic/center |
Location | 3384 W 4600 S Ste 1, West Haven, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730335225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Richard P Amon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265407282 PECOS PAC ID: 0749211886 Enrollment ID: I20101101001616 |
Provider Name | Brian W Tolman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013953363 PECOS PAC ID: 5193757953 Enrollment ID: I20120905000116 |
Provider Name | Michael Earley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1881945921 PECOS PAC ID: 3375767775 Enrollment ID: I20140605001609 |
Provider Name | Ryan L Westbroek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144608050 PECOS PAC ID: 1658685359 Enrollment ID: I20150807014137 |
Provider Name | Tyson Stromberg |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629782065 PECOS PAC ID: 9436517760 Enrollment ID: I20230620000869 |
Provider Name | Sierra Anne Burnett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104282938 PECOS PAC ID: 5597112532 Enrollment ID: I20231113001372 |
Provider Name | Maline Johanna Cropper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043990989 PECOS PAC ID: 7719321546 Enrollment ID: I20240220001483 |
Mailing Address | Practice Location Address |
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Live Well Chiropractic , P.c. 3384 W 4600 S Ste 1, West Haven, UT 84401-9222 Ph: (801) 731-9899 | Live Well Chiropractic , P.c. 3384 W 4600 S Ste 1, West Haven, UT 84401-9222 Ph: (801) 731-9899 |