Provider Demographics
NPI:1609027960
Name:CLEAR CHOICE CHIROPRACTIC AND WELLNESS
Entity type:Organization
Organization Name:CLEAR CHOICE CHIROPRACTIC AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:JAYSON
Authorized Official - Last Name:SALTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:435-656-4318
Mailing Address - Street 1:334 W TABERNACLE ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3392
Mailing Address - Country:US
Mailing Address - Phone:435-656-3418
Mailing Address - Fax:435-656-3384
Practice Address - Street 1:334 W TABERNACLE ST
Practice Address - Street 2:SUITE D
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3392
Practice Address - Country:US
Practice Address - Phone:435-656-3418
Practice Address - Fax:435-656-3384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTV27939261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center