Warner, Dontai

Warner, Dontai is an individual health care provider with primary practice located at 2075 University Park Blvd , Layton UT 84041-1611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Warner, Dontai can be contacted via phone (801) 614-5500.

Contact Information

Primary practice address
2075 University Park Blvd Layton UT 84041-1611
Fax: (801) 825-8519
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9172019-1206 Utah

Profile Details

NPI number 1992109946
LBN Legal business name Warner, Dontai
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2014
Last updated Apr 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992109946 NPPES
Utah MEDICAID U000097081

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