Jupiter Medical I Llc

LBN: Jupiter Medical I Llc
Jupiter Medical I Llc is an health care organization with primary practice located at 1784 Uinta Way Unit E2 , Park City UT 84098-7685. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jupiter Medical I Llc can be contacted via phone (435) 604-0160, or through Knepper, Bryan via phone (617) 571-3680.

Contact Information

Primary practice address
1784 Uinta Way Unit E2 Park City UT 84098-7685
Phone: (435) 604-0160
Fax: (435) 731-8328
Website:
Map and Directions
Authorized official contact:
Name: Knepper, Bryan
Phone: (617) 571-3680

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Utah

Profile Details

NPI number 1104346543
LBN Legal business name Jupiter Medical I Llc
DBA Doing business as
Authorized official Knepper, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2017
Last updated Jun 27th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104346543 NPPES
Utah MEDICAID U000092310

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