Audrey Jantzen, M.D. Pllc

LBN: Audrey Jantzen, M.D. Pllc
Audrey Jantzen, M.D. Pllc is an health care organization with primary practice located at 3685 N 100 E Suite A, Provo UT 84604-4594. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Audrey Jantzen, M.D. Pllc can be contacted via phone (801) 229-1954, or through Jantzen, Audrey via phone (801) 229-1054.

Contact Information

Primary practice address
3685 N 100 E Suite A Provo UT 84604-4594
Phone: (801) 229-1954
Fax: (801) 426-6338
Website:
Map and Directions
Authorized official contact:
Name: Jantzen, Audrey
Phone: (801) 229-1054

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 66542191205 Utah

Profile Details

NPI number 1538391339
LBN Legal business name Audrey Jantzen, M.D. Pllc
DBA Doing business as
Authorized official Jantzen, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2009
Last updated Aug 13th, 2009 - about 17 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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