Mcdougall, Eric C

Mcdougall, Eric C is an individual health care provider with primary practice located at 3920 S 1100 East Ste 220, Salt Lake City UT 84124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcdougall, Eric C can be contacted via phone (801) 268-2584.

Contact Information

Primary practice address
3920 S 1100 East Ste 220 Salt Lake City UT 84124
Phone: (801) 268-2584
Fax: (801) 262-1168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3726131205 Utah

Profile Details

NPI number 1285609313
LBN Legal business name Mcdougall, Eric C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285609313 NPPES
Utah MEDICAID 870573947004

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