Gundersen, Bruce Van
Gundersen, Bruce Van is an sole proprietor health care provider with primary practice located at 4211 Holladay Blvd , Salt Lake City UT 84124-2607. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Gundersen, Bruce Van can be contacted via phone (801) 272-8471.Contact Information
Primary practice address
4211 Holladay Blvd
Salt Lake City UT 84124-2607
Phone: (801) 272-8471
Fax: (801) 424-2219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 161820-1202 | Utah |
Profile Details
| NPI number | 1952409476 |
|---|---|
| LBN Legal business name | Gundersen, Bruce Van |
| Credentials | DC, FACO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1952409476 | NPPES |
| Utah | MEDICAID | 870395551005 | |
| Utah | Other | 161820-1202 |
Popular Providers
-
Bachelder, Robert E
1182 Township Road 1175 , Ashland OH 44805-1977 -
Cofer, Donald A.
1901 Prospector Ave. Ste 10 , Park City UT 84060 -
Shepherd, Ronald G
700 Eagle Ridge Rd , Le Claire IA 52753-9593 -
Doggett, William Howard
3500 Comanche Rd Ne Ste I, Albuquerque NM 87107-4546 -
Jarvis, Kelly B
906 S Main St , Heber City UT 84032-2403 -
Arpin, David F
2166 Hendersonville Rd , Arden NC 28704-5704 -
Harman, Ronald Dean
1407 South B St , San Mateo CA 94402-2433 -
Winteregg, Mark R.
10315 Dawsons Creek Blvd Ste I, Fort Wayne IN 46825-1912