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Contact Information

ALPINE PAIN & SPINAL REHABILITATION INC
3051 W MAPLE LOOP DR STE 125
LEHI, UT84043-5620
 Phone: 801-766-6055
 Fax: 888-611-8840
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ALPINE PAIN & SPINAL REHABILITATION INC

NPI # 1255844015
LBN Legal business name ALPINE PAIN & SPINAL REHABILITATION INC
Authorized official BRENT EGAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2017
Last updated 10/16/2024 - More than a year ago
Identifiers
UT Medicaid 1063492304
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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