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Contact Information

MEDICRUISER ONSITE CARE
225 10TH AVE
SALT LAKE CITY, UT84103-2529
 Phone: 801-484-5504
 Fax: 801-484-5538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MEDICRUISER ONSITE CARE · (Female)

NPI Number 1710245402
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2012
Last updated 02/28/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 97-339160-1205
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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