Ganellen, Edward W

Ganellen, Edward W is an individual health care provider with primary practice located at 1160 E 3900 S Suite 2000, Salt Lake City UT 84124-1202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ganellen, Edward W can be contacted via phone (801) 266-3418.

Contact Information

Primary practice address
1160 E 3900 S Suite 2000 Salt Lake City UT 84124-1202
Phone: (801) 266-3418
Fax: (801) 288-4444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 187176-1205 Utah
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 187176-1205 Utah

Profile Details

NPI number 1164414017
LBN Legal business name Ganellen, Edward W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jan 20th, 2015 - about 11 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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