Groberg, Darren Fadel

Groberg, Darren Fadel is an sole proprietor health care provider with primary practice located at 430 N 400 W , Salt Lake City UT 84103-1229. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Groberg, Darren Fadel can be contacted via phone (801) 532-1822.

Contact Information

Primary practice address
430 N 400 W Salt Lake City UT 84103-1229
Phone: (801) 532-1822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 01 Utah

Profile Details

NPI number 1396972469
LBN Legal business name Groberg, Darren Fadel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2009
Last updated Apr 24th, 2018 - about 8 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 1396972469 NPPES
Utah MEDICAID 1396972469

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