Organization
ELN ENTERPRISES
Active
Parent organization
NO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NO
Authorized official
MR. JACOB JOHNSEN (OWNER/PRESIDENT)
(866) 612-7449
Entity
Organization
Contact information
Practice address
1480 ORCHARD DR STE 103, BOUNTIFUL, UT 84010-5172
(866) 612-7449
Mailing address
1480 ORCHARD DR STE 103, BOUNTIFUL, UT 84010-5172
(866) 612-7449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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