National Provider Identifier Database

RISE PEDIATRICS PLLC
Pediatrics


Contact Information

RISE PEDIATRICS PLLC
180 N UNIVERSITY AVE STE 270
PROVO, UT84601-5648
Phone: 801-930-0776
Fax: 385-217-6817
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for RISE PEDIATRICS PLLC

NPI Number 1235803727
Legal business name
LBN
RISE PEDIATRICS PLLC
Authorized official SARAH HOMER - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/06/2021
Last updated 08/06/2021 - About 5 years 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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