Child, Gary L
Child, Gary L is an sole proprietor health care provider with primary practice located at 945 W 3200 N , Lehi UT 84043-9771. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Child, Gary L can be contacted via phone (801) 766-6055.Contact Information
Primary practice address
945 W 3200 N
Lehi UT 84043-9771
Phone: (801) 766-6055
Fax: (888) 611-8840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 71112893-1204 | Utah |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 7112893-1204 | Utah |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 71112893-1204 | Utah |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 71112893-1204 | Utah |
Profile Details
| NPI number | 1063492304 |
|---|---|
| LBN Legal business name | Child, Gary L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Dec 14th, 2011 - about 13 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 | 1063492304 | NPPES |
| Utah | MEDICAID | 1063492304 |
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