| My Family Chiro, Llc | |
|
249 E Tabernacle St Ste 300 Saint George UT 84770-2995 | |
| (435) 703-9410 | |
| (435) 703-9406 |
| Full Name | My Family Chiro, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 249 E Tabernacle St Ste 300, Saint George, Utah |
| Authorized Official Name and Position | Thomas Allen Johnson (OWNER) |
| Authorized Official Contact | 4357039406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Family Chiro, Llc 249 E Tabernacle St Ste 300 Saint George UT 84770-2995 Ph: (435) 703-9410 | My Family Chiro, Llc 249 E Tabernacle St Ste 300 Saint George UT 84770-2995 Ph: (435) 703-9410 |
| NPI Number | 1649515982 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 10/26/2022 |
| Medicare PECOS PAC ID | 2668617762 |
|---|---|
| Medicare Enrollment ID | O20130320000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649515982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8272326-1202 (Utah) | Primary |
| Provider Name | Thomas A Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497013668 PECOS PAC ID: 9335395748 Enrollment ID: I20120816000844 |
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