Provider Demographics
NPI:1720402324
Name:NMG, LLC
Entity Type:Organization
Organization Name:NMG, LLC
Other - Org Name:NETWORK MANAGEMENT GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-747-3228
Mailing Address - Street 1:PO BOX 26543
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84126-0543
Mailing Address - Country:US
Mailing Address - Phone:801-747-3228
Mailing Address - Fax:
Practice Address - Street 1:1755 S 4490 W
Practice Address - Street 2:ST. C & D
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84104-4740
Practice Address - Country:US
Practice Address - Phone:801-747-3228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty