Edmunds, Alyson Elaine
Edmunds, Alyson Elaine is an individual health care provider with primary practice located at 100 Mario Capecchi Dr , Salt Lake City UT 84113-1103. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Edmunds, Alyson Elaine can be contacted via phone (801) 662-3645.Contact Information
Primary practice address
100 Mario Capecchi Dr
Salt Lake City UT 84113-1103
Phone: (801) 662-3645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0116019749 | Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101246455 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 344720-1205 | Utah |
Profile Details
| NPI number | 1306043682 |
|---|---|
| LBN Legal business name | Edmunds, Alyson Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Nov 3rd, 2014 - about 11 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 | 1306043682 | NPPES |
| Virginia | MEDICAID | 1306043682 |
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