# ELN ENTERPRISES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104229665
- **Legal business name:** NO
- **Authorized official:** MR. JACOB JOHNSEN (OWNER/PRESIDENT)
- **Authorized official phone:** (866) 612-7449

## Contact information

- **Practice address:** 1480 ORCHARD DR STE 103, BOUNTIFUL, UT 84010-5172
- **Practice address phone:** (866) 612-7449
- **Mailing address:** 1480 ORCHARD DR STE 103, BOUNTIFUL, UT 84010-5172
- **Mailing address phone:** (866) 612-7449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2014
- **Last updated:** 09/29/2014