Shurtliff, Max H

Shurtliff, Max H is an individual health care provider with primary practice located at 3580 W 9000 S , West Jordan UT 84070. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Shurtliff, Max H can be contacted via phone (801) 993-9527.

Contact Information

Primary practice address
3580 W 9000 S West Jordan UT 84070
Phone: (801) 993-9527
Fax: (801) 733-5872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 212191-4406 Utah

Profile Details

NPI number 1851484489
LBN Legal business name Shurtliff, Max H
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1851484489 NPPES
Utah Other 102600 GEM
Utah Other 293654 GEM
Utah Other 39005 GEM
Utah Other 870542403 84121 A003 GEM
Utah Other PR00993 GEM
Utah Other QMXAF01875 GEM
Utah Other 107001189102 GEM
Utah Other 870542403SH1 GEM

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