Boulos, Maryana Carole
Boulos, Maryana Carole is an individual health care provider with primary practice located at 1250 E 3900 S Ste 260 , Salt Lake City UT 84124-1371. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boulos, Maryana Carole can be contacted via phone (801) 265-2000.Contact Information
Primary practice address
1250 E 3900 S Ste 260
Salt Lake City UT 84124-1371
Phone: (801) 265-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12851770-1205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12851770-1205-1205 | Utah |
Profile Details
| NPI number | 1598325821 |
|---|---|
| LBN Legal business name | Boulos, Maryana Carole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2019 |
| Last updated | Nov 9th, 2023 - about 3 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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