Abbott, Mark Fredric
Abbott, Mark Fredric is an individual health care provider with primary practice located at 1200 E 3900 S Attn: Radiology Department, Salt Lake City UT 84124-1300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Abbott, Mark Fredric can be contacted via phone (801) 298-1300.Contact Information
Primary practice address
1200 E 3900 S Attn: Radiology Department
Salt Lake City UT 84124-1300
Phone: (801) 298-1300
Fax: (801) 296-6199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 149032 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 8495680-1205 | Utah |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 8495680-1205 | Utah |
Profile Details
| NPI number | 1295993871 |
|---|---|
| LBN Legal business name | Abbott, Mark Fredric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2008 |
| Last updated | Nov 14th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295993871 | NPPES |
| Utah | Other | P01180702 | RAILROAD MEDICARE |
| Utah | Other | 10000009999001 | RAILROAD MEDICARE |
| Utah | Other | 107120161102 | RAILROAD MEDICARE |
| Utah | Other | 1295993871 | RAILROAD MEDICARE |
| Utah | Other | 1295993871 | RAILROAD MEDICARE |
| Utah | MEDICAID | 1295993871 | RAILROAD MEDICARE |
| Utah | Other | 145448 | RAILROAD MEDICARE |
| Utah | Other | 4697935 | RAILROAD MEDICARE |
| Utah | Other | 1137616 | RAILROAD MEDICARE |
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