| Foundation Chiropractic | |
|
608 N State St Orem UT 84057-3806 | |
| (801) 358-8198 | |
| Not Available |
| Full Name | Foundation Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 608 N State St, Orem, Utah |
| Authorized Official Name and Position | Jeffry C Brown (CHIROPRACTOR) |
| Authorized Official Contact | 8013588198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Chiropractic 608 N State St Orem UT 84057-3806 Ph: (801) 358-8198 | Foundation Chiropractic 608 N State St Orem UT 84057-3806 Ph: (801) 358-8198 |
| NPI Number | 1336579655 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 11/22/2013 |
| Medicare PECOS PAC ID | 1658500871 |
|---|---|
| Medicare Enrollment ID | O20140211001819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336579655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8139801-1202 (Utah) | Primary |
| Provider Name | Jeffry C Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427335686 PECOS PAC ID: 4789845306 Enrollment ID: I20120409000204 |
| Provider Name | Erik Madsen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801483193 PECOS PAC ID: 4082087150 Enrollment ID: I20230310002148 |
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