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Contact Information

CHLOE C CHARLES
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-662-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for CHLOE C CHARLES · (Female)

NPI Number 1245925122
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2023
Last updated 09/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 11121475-4405
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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