National Provider Identifier Database

HTI PHYSICIAN SERVICES OF UTAH INC
Rural Health


Contact Information

HTI PHYSICIAN SERVICES OF UTAH INC
112 S PLYMOUTH STREET
NEW PLYMOUTH, ID83655-0048
Phone: 208-278-3406
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for HTI PHYSICIAN SERVICES OF UTAH INC

NPI Number 1104869965
Legal business name
LBN
HTI PHYSICIAN SERVICES OF UTAH INC
Authorized official JULIE TAYLOR - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 06/13/2006
Last updated 10/26/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 1104869965

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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