Chenworth, Eric C

Chenworth, Eric C is an individual health care provider with primary practice located at 13348 S Market Center Dr Ste 220, Riverton UT 84065-8011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Chenworth, Eric C can be contacted via phone (385) 290-1289.

Contact Information

Primary practice address
13348 S Market Center Dr Ste 220 Riverton UT 84065-8011
Phone: (385) 290-1289
Fax: (385) 290-1290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 46865 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46865 Colorado
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 7666176-1204 Utah

Profile Details

NPI number 1700859907
LBN Legal business name Chenworth, Eric C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 29th, 2024 - about 2 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 1700859907 NPPES
Colorado MEDICAID 32024738

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