Waldron, David T
Waldron, David T is an individual health care provider with primary practice located at 98 N 1100 E Ste 103 , American Fork UT 84003-2940. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Waldron, David T can be contacted via phone (801) 492-2330.Contact Information
Primary practice address
98 N 1100 E Ste 103
American Fork UT 84003-2940
Phone: (801) 492-2330
Fax: (801) 492-2375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3510331206 | Utah |
Profile Details
| NPI number | 1669418455 |
|---|---|
| LBN Legal business name | Waldron, David T |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jun 30th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669418455 | NPPES |
| Utah | Other | P00023902 | PALMETTO |
| Utah | Other | 10703135101 | PALMETTO |
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