Vanwagoner, L. Scott

Vanwagoner, L. Scott is an individual health care provider with primary practice located at 170 North 1100 East , American Fork UT 84003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Vanwagoner, L. Scott can be contacted via phone (801) 714-6570.

Contact Information

Primary practice address
170 North 1100 East American Fork UT 84003
Phone: (801) 714-6570
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 359724 Utah

Profile Details

NPI number 1669425146
LBN Legal business name Vanwagoner, L. Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 11th, 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 1669425146 NPPES
Utah Other 659871 DESERET MUTUAL
Utah Other 870636000VA1 DESERET MUTUAL
Utah Other 107009651102 DESERET MUTUAL
Utah MEDICAID D2495 DESERET MUTUAL

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