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Contact Information

SCOTT C HENDRICKSON, DO
1485 S HIGHWAY 40
HEBER CITY, UT84032-3522
 Phone: 435-654-2500
 Fax: 770-701-6676
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SCOTT C HENDRICKSON · (Male)

NPI Number 1669628434
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/13/2008
Last updated 11/29/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 02003876A
  • NV License # SL0585
  • UT License # 10498786-1204
  • IN Other P01424362 RAIL ROAD PTAN
Hospital affiliation(s)
  • HEBER VALLEY MEDICAL CENTER - (Critical Access)
    1485 SOUTH HIGHWAY 40
    HEBER CITY, UT 84032
  • SAINT JOSEPH REGIONAL MEDICAL CENTER - (Acute Care)
    5215 HOLY CROSS PKWY
    MISHAWAKA, IN 46545
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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