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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 Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for TIMBER RIDGE HOLDINGS LLC

NPI # 1508098906
LBN Legal business name TIMBER RIDGE HOLDINGS LLC
Authorized official BRIAN PENNOCKS - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2009
Last updated 08/18/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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