National Provider Identifier Database

ASHLEY VALLEY PHYSICIAN PRACTICE LLC
Rural Health


Contact Information

ASHLEY VALLEY PHYSICIAN PRACTICE LLC
409 S 200 E
ROOSEVELT, UT84066-3314
Phone: 435-781-0757
Fax: 435-781-2628
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for ASHLEY VALLEY PHYSICIAN PRACTICE LLC

NPI Number 1871834960
Legal business name
LBN
ASHLEY VALLEY PHYSICIAN PRACTICE LLC
Authorized official CHARLOTTE LAWRENCE - (SECRETARY)
Entity Organization
Organization subpart Yes
Enumeration date 03/14/2013
Last updated 09/18/2024 - More than a year 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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