Dermatology Center Of Salt Lake Inc.
LBN: Dermatology Center Of Salt Lake Inc.
Dermatology Center Of Salt Lake Inc. is an health care organization with primary practice located at 7396 Union Park Ave #201, Midvale UT 84047-6700. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Dermatology Center Of Salt Lake Inc. can be contacted via phone (801) 567-1400, or through Jensen, Joseph D via phone (801) 567-1400.
Contact Information
Primary practice address
7396 Union Park Ave #201
Midvale UT 84047-6700
Phone: (801) 567-1400
Fax: (801) 567-1777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 266561-1205 | Utah |
Profile Details
| NPI number | 1689635799 |
|---|---|
| LBN Legal business name | Dermatology Center Of Salt Lake Inc. |
| DBA Doing business as | |
| Authorized official | Jensen, Joseph D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 15th, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689635799 | NPPES |
| Utah | Other | QM0000046926 | ALTIUS |
| Utah | MEDICAID | 528986681031 | ALTIUS |
| Utah | Other | 52898668108001 | ALTIUS |
| Utah | Other | 107007222102 | ALTIUS |
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