Fahrner, Scott L
Fahrner, Scott L is an individual health care provider with primary practice located at Helix: 30 N Mario Capecchi Dr Rm 2S200 , Salt Lake City UT 84112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Fahrner, Scott L can be contacted via phone (801) 581-2121.Contact Information
Primary practice address
Helix: 30 N Mario Capecchi Dr Rm 2S200
Salt Lake City UT 84112
Phone: (801) 581-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | EC-05-1025 | Maine |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 46553 | Colorado |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 13891662-1205 | Utah |
Profile Details
| NPI number | 1477634558 |
|---|---|
| LBN Legal business name | Fahrner, Scott L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Apr 11th, 2024 - about last year |
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 | 1477634558 | NPPES |
| Colorado | MEDICAID | 47100087 | |
| Colorado | Other | P00699663 |
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