Lundberg, Bryan William
Lundberg, Bryan William is an individual health care provider with primary practice located at 4071 S 4000 W , West Valley City UT 84120-4143. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lundberg, Bryan William can be contacted via phone (801) 265-0103.Contact Information
Primary practice address
4071 S 4000 W
West Valley City UT 84120-4143
Phone: (801) 265-0103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 8905020-1206 | Utah |
Profile Details
| NPI number | 1619398021 |
|---|---|
| LBN Legal business name | Lundberg, Bryan William |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2014 |
| Last updated | Jun 7th, 2024 - about 2 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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