National Provider Identifier Database

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
195 TRIBAL CENTER RD
IBAPAH, UT84034
Phone: 435-234-1194
Fax: 435-234-1202
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

NPI Number 1750510277
Legal business name
LBN
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Authorized official CRYSTAL CONTRERAS - (BILLING)
Entity Organization
Organization subpart No
Enumeration date 07/06/2009
Last updated 02/05/2020 - About 6 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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