Bronner, Mary P
Bronner, Mary P is an sole proprietor health care provider with primary practice located at 500 Chipeta Arup Laboratories, Salt Lake City UT 84108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Bronner, Mary P can be contacted via phone (801) 583-2787.Contact Information
Primary practice address
500 Chipeta Arup Laboratories
Salt Lake City UT 84108
Phone: (801) 583-2787
Fax: (801) 581-0735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 35083002B | Ohio |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 7817974-1205 | Utah |
Profile Details
| NPI number | 1740245299 |
|---|---|
| LBN Legal business name | Bronner, Mary P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Dec 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740245299 | NPPES |
| Ohio | MEDICAID | 2449872 | |
| Ohio | Other | P00907176 |
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