Jesse Adam Cleverley, DC | |
1684 W Reunion Ave Ste 250, South Jordan, UT 84095-4626 | |
(801) 562-0363 | |
(801) 562-0347 |
Full Name | Jesse Adam Cleverley |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1684 W Reunion Ave Ste 250, South Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386785939 | NPI | - | NPPES |
000010008123 | Other | ID | BLUE SHIELD |
806192200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-851 (Idaho) | Secondary |
111N00000X | Chiropractor | 9213627-1202 (Utah) | Primary |
Provider Name | Seasons Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104494400 PECOS PAC ID: 1355790791 Enrollment ID: O20231212000441 |
Mailing Address | Practice Location Address |
---|---|
Jesse Adam Cleverley, DC 1684 W Reunion Ave Ste 250, South Jordan, UT 84095-4626 Ph: (801) 562-0363 | Jesse Adam Cleverley, DC 1684 W Reunion Ave Ste 250, South Jordan, UT 84095-4626 Ph: (801) 562-0363 |
Nicholas Takis, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 10459 South 1300 West, Suite 203, South Jordan, UT 84095 Phone: 385-308-8169 | |
Dr. Janson William Kemp, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 968 W South Jordan Pkwy, Ste B, South Jordan, UT 84095 Phone: 801-302-1362 | |
Dr. Donald Robert Miller, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 10459 South 1300 West, Suite 203, South Jordan, UT 84095 Phone: 385-308-8169 | |
J Brinton Andersen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10965 S River Front Pkwy, South Jordan, UT 84095 Phone: 801-380-4234 | |
Frogley Health And Wellness Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10382 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-816-0332 | |
Dr. Joseph Ross Stockwell, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10714 S Jordan Gtwy, Suite # 220, South Jordan, UT 84095 Phone: 801-523-1890 Fax: 801-523-1495 | |
Eric J Berube, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10456 S Redwood Rd, South Jordan, UT 84095 Phone: 801-446-5100 |