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Contact Information

STEPHEN PROSKAUER, MD
860 E 4500 S
SUITE 302
SALT LAKE CITY, UT84107-3002
 Phone: 801-631-8426
 Fax: 801-268-3777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for STEPHEN PROSKAUER · (Male)

NPI # 1871769711
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2008
Last updated 05/01/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 5029959-1205
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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