Amber, Ina Judith

Amber, Ina Judith is an sole proprietor health care provider with primary practice located at 24 S 1100 E Ste 310 , Salt Lake City UT 84102-1500. She recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Amber, Ina Judith can be contacted via phone (801) 328-1260.

Contact Information

Primary practice address
24 S 1100 E Ste 310 Salt Lake City UT 84102-1500
Phone: (801) 328-1260
Fax: (801) 350-4361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 171790-1205 Utah
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 171790-1205 Utah

Profile Details

NPI number 1760549927
LBN Legal business name Amber, Ina Judith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jan 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760549927 NPPES
Utah Other 000057369 MEDICARE ID

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