Amundsen, Spencer Hayden
Amundsen, Spencer Hayden is an individual health care provider with primary practice located at 96 E Kimballs Ln Ste 207 , Draper UT 84020-5025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Amundsen, Spencer Hayden can be contacted via phone (801) 576-2300.Contact Information
Primary practice address
96 E Kimballs Ln Ste 207
Draper UT 84020-5025
Phone: (801) 576-2300
Fax: (844) 249-1746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 9655914-1205 | Utah |
Profile Details
| NPI number | 1841517257 |
|---|---|
| LBN Legal business name | Amundsen, Spencer Hayden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2010 |
| Last updated | Jan 18th, 2022 - about 2 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 | 1841517257 | NPPES |
| Utah | MEDICAID | 1265638357 |
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