Provider Demographics
NPI:1902443690
Name:NUTRITIONAL FACTORS INC.
Entity Type:Organization
Organization Name:NUTRITIONAL FACTORS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:A
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, MLS
Authorized Official - Phone:801-660-9681
Mailing Address - Street 1:2247 E 3700 N
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-2477
Mailing Address - Country:US
Mailing Address - Phone:801-660-9681
Mailing Address - Fax:
Practice Address - Street 1:1915 S 4800 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84104-5316
Practice Address - Country:US
Practice Address - Phone:385-394-3938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health