Provider Demographics
NPI:1669761490
Name:BARNUM AND MUIR UNION LLC
Entity type:Organization
Organization Name:BARNUM AND MUIR UNION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BARNUM
Authorized Official - Suffix:
Authorized Official - Credentials:MDC
Authorized Official - Phone:435-656-8290
Mailing Address - Street 1:165 E 200 S
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3441
Mailing Address - Country:US
Mailing Address - Phone:435-656-8290
Mailing Address - Fax:435-656-8290
Practice Address - Street 1:1490 E FOREMASTER DR
Practice Address - Street 2:SUITE 140
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4488
Practice Address - Country:US
Practice Address - Phone:435-688-2456
Practice Address - Fax:435-986-4096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1070894101237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty