| Academy Of Natural Medicine P.c. | |
|
1405 Washington Blvd Ogden UT 84404-5746 | |
| (801) 394-8866 | |
| Not Available |
| Full Name | Academy Of Natural Medicine P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1405 Washington Blvd, Ogden, Utah |
| Authorized Official Name and Position | Bonni Benhard (MANAGER) |
| Authorized Official Contact | 8013948866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Academy Of Natural Medicine P.c. 1405 Washington Blvd 1405 Washington Blvd Ogden UT 84404-5746 Ph: (801) 394-8866 | Academy Of Natural Medicine P.c. 1405 Washington Blvd Ogden UT 84404-5746 Ph: (801) 394-8866 |
| NPI Number | 1215232848 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 08/22/2011 |
| Medicare PECOS PAC ID | 1153504659 |
|---|---|
| Medicare Enrollment ID | O20110321000947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215232848 | NPI | - | NPPES |
| 870395551005 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 952871711202 (Utah) | Primary |
| Provider Name | Thomas M Benhard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851476428 PECOS PAC ID: 1759564099 Enrollment ID: I20110324000557 |
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