National Provider Identifier Database

CANYONLANDS MEDICAL LC
Oxygen Equipment & Supplies


Contact Information

CANYONLANDS MEDICAL LC
5790 HARRISON BLVD
STE. 2
SOUTH OGDEN, UT84403-4325
Phone: 801-393-6333
Fax: 801-394-6333
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for CANYONLANDS MEDICAL LC

NPI Number 1497734362
Legal business name
LBN
CANYONLANDS MEDICAL LC
Authorized official DAR NELSON - (PRES)
Entity Organization
Organization subpart No
Enumeration date 01/10/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 5528522-1703
  • UT Medicaid: 870479372003

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.

Reviews for CANYONLANDS MEDICAL LC

There are currently no reviews for CANYONLANDS MEDICAL LC


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