National Provider Identifier Database

CLINICAL CONSULTANTS LLC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

CLINICAL CONSULTANTS LLC
7601 S REDWOOD RD BLDG E
WEST JORDAN, UT84084-4007
Phone: 801-233-8670
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for CLINICAL CONSULTANTS LLC

NPI Number 1730630203
Legal business name
LBN
CLINICAL CONSULTANTS LLC
Authorized official MIKE ODOM - (PROGRAM ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 10/20/2016
Last updated 10/20/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 22529

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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