Ostermiller, Dana C

Ostermiller, Dana C is an individual health care provider with primary practice located at 3725 W 4100 S , West Valley City UT 84120-5530. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ostermiller, Dana C can be contacted via phone (801) 965-3600.

Contact Information

Primary practice address
3725 W 4100 S West Valley City UT 84120-5530
Phone: (801) 965-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10630 Montana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M11797 Idaho
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9406263-1205 Utah

Profile Details

NPI number 1609977842
LBN Legal business name Ostermiller, Dana C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 1st, 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 1609977842 NPPES
Montana MEDICAID 153634
Montana Other 93436

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