Engen, Todd B

Engen, Todd B is an individual health care provider with primary practice located at 1735 N State St , Provo UT 84604-1010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Engen, Todd B can be contacted via phone (801) 379-2900.

Contact Information

Primary practice address
1735 N State St Provo UT 84604-1010
Phone: (801) 379-2900
Fax: (801) 374-6295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 983591001205 Utah
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 3591001205 Utah

Profile Details

NPI number 1295705697
LBN Legal business name Engen, Todd B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 13th, 2017 - about 7 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 1295705697 NPPES
Utah Other QM0000053146 ALTIUS
Utah Other 1146594 ALTIUS
Utah Other 0880213 ALTIUS
Utah Other 87028357684604C001 ALTIUS
Utah Other 107007206102 ALTIUS
Utah Other 1435708001 ALTIUS
Utah Other 204371916TBE ALTIUS
Utah Other 87028357684601A001 ALTIUS

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