Kriesel, John D.

Kriesel, John D. is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Kriesel, John D. can be contacted via phone (801) 585-2031.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-0001
Phone: (801) 585-2031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 181533-1205 Utah

Profile Details

NPI number 1780774398
LBN Legal business name Kriesel, John D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Nov 17th, 2021 - about 5 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 1780774398 NPPES
Idaho MEDICAID 003056100
Idaho MEDICAID 09871
Idaho Other 110086240

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