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Contact Information

LEGACY ANESTHESIA LLC
1485 S HIGHWAY 40
HEBER CITY, UT84032-3522
 Phone: 435-654-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for LEGACY ANESTHESIA LLC · (Female)

NPI Number 1851764112
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2015
Last updated 11/16/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 120505
Hospital affiliation(s) Not Available
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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