Winn, Robert T

Winn, Robert T is an individual health care provider with primary practice located at 1665 Bonanza Dr , Park City UT 84060-5127. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Winn, Robert T can be contacted via phone (435) 649-7640.

Contact Information

Primary practice address
1665 Bonanza Dr Park City UT 84060-5127
Phone: (435) 649-7640
Fax: (435) 649-1365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 158083-1205 Utah
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 158083-1205 Utah

Profile Details

NPI number 1912951393
LBN Legal business name Winn, Robert T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Aug 31st, 2012 - about 14 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 1912951393 NPPES
Utah MEDICAID D5138

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