Mark Swain Aldridge, DC | |
3300 Running Creek Way, Bld E Ste 200, Lehi, UT 84043-5563 | |
(801) 766-2080 | |
(801) 766-4776 |
Full Name | Mark Swain Aldridge |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 24 Years |
Location | 3300 Running Creek Way, Lehi, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386780906 | NPI | - | NPPES |
453363 | Other | VA | ANTHEM PROVIDER NUMBER |
32-0003223 | Other | VA | EMPLOYER IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104555765 (Virginia) | Secondary |
111N00000X | Chiropractor | 328280-1202 (Utah) | Primary |
Provider Name | Aldridge Family Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134488315 PECOS PAC ID: 4082878889 Enrollment ID: O20120606000773 |
Mailing Address | Practice Location Address |
---|---|
Mark Swain Aldridge, DC 3300 Running Creek Way, Bld E Ste 200, Lehi, UT 84043-5563 Ph: (801) 766-2080 | Mark Swain Aldridge, DC 3300 Running Creek Way, Bld E Ste 200, Lehi, UT 84043-5563 Ph: (801) 766-2080 |
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Aldridge Family Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 3300 N Running Creek Way Bld E Ste 200, Lehi, UT 84043 Phone: 801-766-4113 Fax: 801-766-4776 |