Healthcare Provider Details

I. General information

NPI: 1578770079
Provider Name (Legal Business Name): JAMES N ROLLINS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 E 3300 S #102
SALT LAKE CITY UT
84106-2184
US

IV. Provider business mailing address

1050 E 3300 S #102
SALT LAKE CITY UT
84106-2184
US

V. Phone/Fax

Practice location:
  • Phone: 801-466-5929
  • Fax: 801-466-2154
Mailing address:
  • Phone: 801-466-5929
  • Fax: 801-466-2154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: