Jeffery Allyn Wheelwright, D.C.
Individual provider Active NPI Chiropractor · Morgan, UT
NPI 1245302413 · NPPES record last updated Apr 25, 2016
Key facts
- NPI
- 1245302413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 336108-1202 (UT)
- Practice address
- 1590 W Old Highway Rd
Morgan, UT 84050-9301 - Phone
- (801) 829-3407
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336108-1202 | UT | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 336108-1202 | UT | Yes |
Addresses
Primary practice location
1590 W Old Highway Rd
Morgan, UT 84050-9301
Mailing address
1590 W Old Highway Rd
Morgan, UT 84050-9301
Other providers in Morgan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.