Independence Physician And Resource

LBN: Independence Physician And Resource
Independence Physician And Resource is an health care organization with primary practice located at 640 S 500 W , Bountiful UT 84010-7210. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Independence Physician And Resource can be contacted via phone (801) 298-1100, or through Frasure, Daniel via phone (801) 698-8927.

Contact Information

Primary practice address
640 S 500 W Bountiful UT 84010-7210
Phone: (801) 298-1100
Fax: (801) 298-1988
Website:
Map and Directions
Authorized official contact:
Name: Frasure, Daniel
Phone: (801) 698-8927

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1851785919
LBN Legal business name Independence Physician And Resource
DBA Doing business as
Authorized official Frasure, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2015
Last updated Apr 3rd, 2015 - about 11 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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