Stat-Md I
LBN: Stat-Md I
Stat-Md I is an health care organization with primary practice located at 1784 Uinta Way Unit E2 , Park City UT 84098-7685. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Stat-Md I can be contacted via phone (435) 604-0160, or through Knepper, Bryan via phone (435) 604-0160.
Contact Information
Primary practice address
1784 Uinta Way Unit E2
Park City UT 84098-7685
Phone: (435) 604-0160
Fax: (435) 731-8328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1164063277 |
|---|---|
| LBN Legal business name | Stat-Md I |
| DBA Doing business as | |
| Authorized official | Knepper, Bryan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 1st, 2019 |
| Last updated | Oct 1st, 2019 - about 7 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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