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Contact Information

RESTORE MEDICAL GROUP HOLDINGS LLC
1309 COFFEEN AVE STE 1200
SHERIDAN, WY82801-5777
 Phone: 720-678-9868
 Fax: 720-678-9860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Specialist

174400000X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for RESTORE MEDICAL GROUP HOLDINGS LLC

NPI # 1174262034
LBN Legal business name RESTORE MEDICAL GROUP HOLDINGS LLC
Authorized official SHAWN BARRIEAU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2022
Last updated 11/25/2022 - About 4 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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