Allred, Gerald Lyle
Allred, Gerald Lyle is an individual health care provider with primary practice located at 2000 S 900 E , Salt Lake City UT 84105-3208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Allred, Gerald Lyle can be contacted via phone (801) 464-7600.Contact Information
Primary practice address
2000 S 900 E
Salt Lake City UT 84105-3208
Phone: (801) 464-7600
Fax: (801) 464-7656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1607211205 | Utah |
Profile Details
| NPI number | 1174577472 |
|---|---|
| LBN Legal business name | Allred, Gerald Lyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jun 26th, 2009 - about 15 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 | 1174577472 | NPPES |
| Utah | MEDICAID | 94285405761 |
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