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Contact Information

BRIAN B LILJENQUIST, DPM
1250 E 3900 S STE 440
SALT LAKE CITY, UT84124
 Phone: 801-869-4100
 Fax: 801-869-4119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN B LILJENQUIST · (Male)

NPI Number 1841586096
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/27/2011
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 8369999-0501
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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