Datz, Frederick L.

Datz, Frederick L. is an sole proprietor health care provider with primary practice located at 4615 Fortuna Way , Salt Lake City UT 84124-4764. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Datz, Frederick L. can be contacted via phone (801) 272-0634.

Contact Information

Primary practice address
4615 Fortuna Way Salt Lake City UT 84124-4764
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 165352-1205 Utah

Profile Details

NPI number 1861668105
LBN Legal business name Datz, Frederick L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 18 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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