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Contact Information

STEPHANIE K HENDRICKS
6520 N HWY 23
NEWTON, UT84327
 Phone: 435-890-0369
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STEPHANIE K HENDRICKS · (Female)

NPI # 1558983791
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2020
Last updated 12/22/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # PA-1976
  • UT License # 11899073-1206
  • UT Other 11899073-1206 STATE LICENSE
Hospital affiliation(s)
  • FRANKLIN COUNTY MEDICAL CENTER - (Critical Access)
    44 NORTH FIRST EAST
    PRESTON, ID 83263
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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