<Unavail>

LBN: Amble Medical
<Unavail> is an health care organization with primary practice located at 9980 S 300 W Ste 300 , Sandy UT 84070-3654. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Allopathic & Osteopathic Physicians / Family Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Amble Medical can be contacted via phone (801) 253-6886, or through Ellsworth, Ryan Scott via phone (801) 253-6886.

Contact Information

Primary practice address
9980 S 300 W Ste 300 Sandy UT 84070-3654
Phone: (801) 253-6886
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellsworth, Ryan Scott Doctor of Podiatric Medicine (DPM)
Phone: (801) 253-6886

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1134865595
LBN Legal business name Amble Medical
DBA Doing business as <Unavail>
Authorized official Ellsworth, Ryan Scott Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2022
Last updated Sep 27th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134865595 NPPES
Utah MEDICAID 4106898

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