The Rose Clinic For Plastic And Migraine Surgery

LBN: The Rose Clinic For Plastic And Migraine Surgery
The Rose Clinic For Plastic And Migraine Surgery is an health care organization with primary practice located at 320 River Park Dr Suite 245, Provo UT 84604-6060. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. The Rose Clinic For Plastic And Migraine Surgery can be contacted via phone (801) 375-7673, or through Rose, Kevin G via phone (801) 375-7673.

Contact Information

Primary practice address
320 River Park Dr Suite 245 Provo UT 84604-6060
Phone: (801) 375-7673
Fax: (801) 375-7679
Website:
Map and Directions
Authorized official contact:
Name: Rose, Kevin G Doctor of Medicine (MD)
Phone: (801) 375-7673

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5575028-1205 Utah

Profile Details

NPI number 1093990210
LBN Legal business name The Rose Clinic For Plastic And Migraine Surgery
DBA Doing business as
Authorized official Rose, Kevin G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2008
Last updated Jun 13th, 2008 - about 16 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 1093990210 NPPES
Utah MEDICAID 528431055001

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