National Provider Identifier Database

STRATA MEDICAL LLC
Student Health


Contact Information

STRATA MEDICAL LLC
4313 BULLFROG
NPS DRO HWY 276
LAKE POWELL, UT84533
Phone: 435-684-2288
Fax: 435-684-2239
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for STRATA MEDICAL LLC

NPI Number 1699760140
Legal business name
LBN
STRATA MEDICAL LLC
Authorized official CRAIG HUMES - (MANAGING PARTNER)
Entity Organization
Organization subpart No
Enumeration date 09/12/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 1018291206

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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