Tanner, Rebecca I.

Tanner, Rebecca I. is an individual health care provider with primary practice located at 1160 E 3900 S Suite G200, Salt Lake City UT 84124-1202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tanner, Rebecca I. can be contacted via phone (801) 268-7766.

Contact Information

Primary practice address
1160 E 3900 S Suite G200 Salt Lake City UT 84124-1202
Phone: (801) 268-7766
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3258511205 Utah

Profile Details

NPI number 1629050067
LBN Legal business name Tanner, Rebecca I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Sep 15th, 2010 - about 16 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 1629050067 NPPES
Utah MEDICAID PR67234

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