In2it Medical Llc | |
1888 W 800 N Pleasant Grove UT 84062-4097 | |
(801) 898-6114 | |
Not Available |
Full Name | In2it Medical Llc |
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Speciality | Family Medicine |
Location | 1888 W 800 N, Pleasant Grove, Utah |
Authorized Official Name and Position | Craig Chappell (OWNER) |
Authorized Official Contact | 8018986114 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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In2it Medical Llc 1888 W 800 N Pleasant Grove UT 84062-4097 Ph: () - | In2it Medical Llc 1888 W 800 N Pleasant Grove UT 84062-4097 Ph: (801) 898-6114 |
NPI Number | 1962879940 |
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Provider Enumeration Date | 08/26/2015 |
Last Update Date | 08/27/2015 |
Medicare PECOS PAC ID | 8729396809 |
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Medicare Enrollment ID | O20151009001864 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962879940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Craig De Chappell |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1689832412 PECOS PAC ID: 9830262062 Enrollment ID: I20151009001916 |
Provider Name | Hawkins B Mecham |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1285080796 PECOS PAC ID: 1254732845 Enrollment ID: I20210702002181 |
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