Individual
DR. NATHAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
124 S FAIRFIELD RD STE B, LAYTON, UT 84041-7106
(801) 774-0266
Mailing address
2363 W THOMAS CT, SYRACUSE, UT 84075-1127
(801) 289-6247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7785070-1202
UT
111N00000X
Chiropractor
CHIRO10232
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NOT PARTICIPATING IN ANY INSURANCE NETWORKS
—
Enumeration date
02/04/2020
Last updated
12/13/2023
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