National Provider Identifier Database

TIMBER RIDGE HOLDINGS LLC
Clinical Neurophysiology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).


Contact Information

TIMBER RIDGE HOLDINGS LLC
448 E 5350 S STE B
WASHINGTON TERRACE, UT84405-5415
Phone: 801-540-4564
Fax:
Website:
Specialty Taxonomy Code
* Clinical Neurophysiology 2084N0600X

* Indicates primary specialty

NPI Profile & details for TIMBER RIDGE HOLDINGS LLC

NPI Number 1508098906
Legal business name
LBN
TIMBER RIDGE HOLDINGS LLC
Authorized official BRIAN PENNOCKS - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/18/2009
Last updated 08/18/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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