Daniel B. Vine, Md, Pc

LBN: Daniel B. Vine, Md, Pc
Daniel B. Vine, Md, Pc is an health care organization with primary practice located at 3980 S 700 E #23, Salt Lake City UT 84107-2188. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Daniel B. Vine, Md, Pc can be contacted via phone (801) 288-1115, or through Vine, Daniel B via phone (801) 288-1115.

Contact Information

Primary practice address
3980 S 700 E #23 Salt Lake City UT 84107-2188
Phone: (801) 288-1115
Fax: (801) 288-1116
Website:
Map and Directions
Authorized official contact:
Name: Vine, Daniel B Doctor of Medicine (MD)
Phone: (801) 288-1115

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 171413-1205 Utah

Profile Details

NPI number 1699075895
LBN Legal business name Daniel B. Vine, Md, Pc
DBA Doing business as
Authorized official Vine, Daniel B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2010
Last updated Oct 22nd, 2010 - about 14 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 1699075895 NPPES
Utah MEDICAID 527270415025

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