Moritz, Mark E

Moritz, Mark E is an sole proprietor health care provider with primary practice located at 1220 E 3900 S Ste 4D , Salt Lake City UT 84124-1383. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Moritz, Mark E can be contacted via phone (801) 269-9939.

Contact Information

Primary practice address
1220 E 3900 S Ste 4D Salt Lake City UT 84124-1383
Phone: (801) 269-9939
Fax: (801) 269-9949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 326705-0501 Utah

Profile Details

NPI number 1245297688
LBN Legal business name Moritz, Mark E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Aug 30th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245297688 NPPES
Utah MEDICAID 91549704030

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