Blue Rock Neurological Llc

LBN: Blue Rock Neurological Llc
Blue Rock Neurological Llc is an health care organization with primary practice located at 3152 N University Ave Ste 220 , Provo UT 84604-4746. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Blue Rock Neurological Llc can be contacted via phone (801) 229-1014, or through Gibby, Wendell via phone (801) 229-1014.

Contact Information

Primary practice address
3152 N University Ave Ste 220 Provo UT 84604-4746
Phone: (801) 229-1014
Fax: (801) 229-1067
Website:
Map and Directions
Authorized official contact:
Name: Gibby, Wendell Doctor of Medicine (MD)
Phone: (801) 229-1014

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X Utah
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Utah
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Utah

Profile Details

NPI number 1730554734
LBN Legal business name Blue Rock Neurological Llc
DBA Doing business as
Authorized official Gibby, Wendell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2015
Last updated Dec 2nd, 2015 - about 9 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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