Anderson, Peter Corless

Anderson, Peter Corless is an sole proprietor health care provider with primary practice located at 3584 W 9000 S Ste. 311, West Jordan UT 84088-5710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Anderson, Peter Corless can be contacted via phone (801) 566-8304.

Contact Information

Primary practice address
3584 W 9000 S Ste. 311 West Jordan UT 84088-5710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 5366856-1205 Utah

Profile Details

NPI number 1043444516
LBN Legal business name Anderson, Peter Corless
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2009
Last updated Jun 23rd, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043444516 NPPES
Utah Other 5366856-1205 STATE MEDICAL LICENSE

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