Archuleta, Letitia P.

Archuleta, Letitia P. is an individual health care provider with primary practice located at 2390 S Redwood Rd , Salt Lake City UT 84119-2027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Archuleta, Letitia P. can be contacted via phone (801) 975-1600.

Contact Information

Primary practice address
2390 S Redwood Rd Salt Lake City UT 84119-2027
Fax: (801) 975-1666
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 1811741205 Utah

Profile Details

NPI number 1346467719
LBN Legal business name Archuleta, Letitia P.
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1346467719 NPPES
Utah MEDICAID 09800

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