Ellis Simonsen, Sara Marie
Ellis Simonsen, Sara Marie is an individual health care provider with primary practice located at 650 Round Valley Dr , Park City UT 84060-7571. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Ellis Simonsen, Sara Marie can be contacted via phone (435) 333-1500.Contact Information
Primary practice address
650 Round Valley Dr
Park City UT 84060-7571
Phone: (435) 333-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 5037536-4402 | Utah |
Profile Details
| NPI number | 1336604610 |
|---|---|
| LBN Legal business name | Ellis Simonsen, Sara Marie |
| Credentials | CNM, MSPH, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2019 |
| Last updated | Jan 31st, 2019 - about 7 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 | 1336604610 | NPPES |
| Utah | Other | 5037536-4402 | CNM LICENSE |
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