Legacy Dermatology

LBN: Legacy Dermatology
Legacy Dermatology is an health care organization with primary practice located at 320 W 500 S Suite 210, Bountiful UT 84010-7218. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Legacy Dermatology can be contacted via phone (385) 312-0650, or through Heaton, Jared Rex via phone (435) 770-9247.

Contact Information

Primary practice address
320 W 500 S Suite 210 Bountiful UT 84010-7218
Phone: (385) 312-0650
Fax: (385) 743-3333
Website:
Map and Directions
Authorized official contact:
Name: Heaton, Jared Rex Doctor of Osteopathy (DO)
Phone: (435) 770-9247

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 9017921-1204 Utah

Profile Details

NPI number 1376944942
LBN Legal business name Legacy Dermatology
DBA Doing business as
Authorized official Heaton, Jared Rex Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2014
Last updated Sep 14th, 2014 - about 10 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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