Volckmann, Eric Terril

Volckmann, Eric Terril is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Volckmann, Eric Terril can be contacted via phone (801) 581-7738.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-0001
Phone: (801) 581-7738
Fax: (801) 581-6612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.093357 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-114835 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 7698810-1205 Utah

Profile Details

NPI number 1710962238
LBN Legal business name Volckmann, Eric Terril
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Dec 20th, 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 1710962238 NPPES
Ohio MEDICAID 273283

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