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Contact Information

SEAN D ANDERSON, DO
5405 S 500 E STE 202
OGDEN, UT84405-7419
 Phone: 801-475-1928
 Fax: 801-475-1808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SEAN D ANDERSON · (Male)

NPI Number 1063701217
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/28/2011
Last updated 03/15/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # O-0868
  • UT License # 5585387-1204
Hospital affiliation(s)
  • OGDEN REGIONAL MEDICAL CENTER - (Acute Care)
    5475 SOUTH 500 EAST
    OGDEN, UT 84405
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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