Boucek, Dana

Boucek, Dana is an sole proprietor health care provider with primary practice located at 100 North Mario Capecchi Dr. Primary Children'S, Salt Lake City UT 84113. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Boucek, Dana can be contacted via phone (801) 662-5700.

Contact Information

Primary practice address
100 North Mario Capecchi Dr. Primary Children'S Salt Lake City UT 84113
Phone: (801) 662-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD460722 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1154612117
LBN Legal business name Boucek, Dana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2011
Last updated Oct 28th, 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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