Organization
SOUTHEAST CHIROPRACTIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY D TERRY D.C. (OWNER)
(435) 637-4621
Entity
Organization
Contact information
Practice address
55 N 600 E, PRICE, UT 84501-2624
(435) 637-4621
Mailing address
55 N 600 E, PRICE, UT 84501-2624
(435) 637-4621
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
359704-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46643
ALTIUS HEALTH PLANS
UT
01
—
50915
PEHP
—
05
—
530545403012
—
UT
01
—
53054540377001
BLUE CROSS BLUE SHIELD/CH
—
01
—
870395551TE5
EDUCATORS
—
Enumeration date
07/13/2007
Last updated
10/18/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up