Wirthlin, Douglas J
Wirthlin, Douglas J is an individual health care provider with primary practice located at 5323 S. Woodrow Street #102, Murray UT 84107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wirthlin, Douglas J can be contacted via phone (801) 713-1010.Contact Information
Primary practice address
5323 S. Woodrow Street #102
Murray UT 84107
Phone: (801) 713-1010
Fax: (801) 713-0665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5258288-1205 | Utah |
Profile Details
| NPI number | 1609816602 |
|---|---|
| LBN Legal business name | Wirthlin, Douglas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609816602 | NPPES |
| Utah | MEDICAID | D4834 |
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