Dittrich, Karen Anne

Dittrich, Karen Anne is an individual health care provider with primary practice located at 5444 S. Green St. , Murray UT 84123-5632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Dittrich, Karen Anne can be contacted via phone (801) 262-8120.

Contact Information

Primary practice address
5444 S. Green St. Murray UT 84123-5632
Phone: (801) 262-8120
Fax: (801) 262-3897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 185077-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-11469 Idaho

Profile Details

NPI number 1003814013
LBN Legal business name Dittrich, Karen Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Aug 30th, 2012 - about 12 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 1003814013 NPPES
Utah Other 1003814013 REGENCE BCBSUT
Utah Other 107005898106 REGENCE BCBSUT
Utah Other 311802 REGENCE BCBSUT
Utah Other P00616149 REGENCE BCBSUT
Utah MEDICAID D0076 REGENCE BCBSUT
Utah Other P00041680 REGENCE BCBSUT
Utah MEDICAID 120442400 REGENCE BCBSUT
Utah MEDICAID 807039500 REGENCE BCBSUT
Utah Other 107005898103 REGENCE BCBSUT
Utah Other 1003814013 REGENCE BCBSUT
Utah Other 103721 REGENCE BCBSUT

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