Forkner, Madeleine Rae

Forkner, Madeleine Rae is an individual health care provider with primary practice located at 4444 S 700 E Ste 203 , Salt Lake City UT 84107-3075. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Forkner, Madeleine Rae can be contacted via phone (801) 268-4887.

Contact Information

Primary practice address
4444 S 700 E Ste 203 Salt Lake City UT 84107-3075
Phone: (801) 268-4887
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X RBT-18-72345 Utah

Profile Details

NPI number 1518431535
LBN Legal business name Forkner, Madeleine Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2019
Last updated Jan 12th, 2019 - about 6 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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