Mark D. Corgiat, Ph.D.

LBN: M D Corgiat Pa
Mark D. Corgiat, Ph.D. is an health care organization with primary practice located at 3903 Harrison Blvd Suite 305, Ogden UT 84403-2314. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. M D Corgiat Pa can be contacted via phone (801) 387-3807, or through Corgiat, Mark David via phone (801) 621-6100.

Contact Information

Primary practice address
3903 Harrison Blvd Suite 305 Ogden UT 84403-2314
Phone: (801) 387-3807
Fax: (801) 387-3810
Website:
Map and Directions
Authorized official contact:
Name: Corgiat, Mark David PH.D.
Phone: (801) 621-6100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6344743-2501 Utah

Profile Details

NPI number 1750550075
LBN Legal business name M D Corgiat Pa
DBA Doing business as Mark D. Corgiat, Ph.D.
Authorized official Corgiat, Mark David PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2008
Last updated Sep 3rd, 2010 - about 15 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 1750550075 NPPES
Utah Other 1336296003 PERSONAL NPI
Utah MEDICAID 1336296003 PERSONAL NPI

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