Rocky Mountain Neurology

LBN: Dr Evan G Black Llc
Rocky Mountain Neurology is an health care organization with primary practice located at 5323 Woodrow St # 120W Suite 201, Murray UT 84107-5841. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Dr Evan G Black Llc can be contacted via phone (801) 261-4711, or through Dawson, Jennifer via phone (801) 408-5702.

Contact Information

Primary practice address
5323 Woodrow St # 120W Suite 201 Murray UT 84107-5841
Phone: (801) 261-4711
Fax: (801) 261-4769
Website:
Map and Directions
Authorized official contact:
Name: Dawson, Jennifer
Phone: (801) 408-5702

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 187597-1205 Utah

Profile Details

NPI number 1902074115
LBN Legal business name Dr Evan G Black Llc
DBA Doing business as Rocky Mountain Neurology
Authorized official Dawson, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2008
Last updated Feb 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902074115 NPPES
Utah Other 130012929 RAILRAOD MEDICARE
Utah MEDICAID 1902074115 RAILRAOD MEDICARE

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