Fertell, Emma

Fertell, Emma is an individual health care provider with primary practice located at 3845 W 4700 S , Taylorsville UT 84129-3454. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fertell, Emma can be contacted via phone (801) 840-4379.

Contact Information

Primary practice address
3845 W 4700 S Taylorsville UT 84129-3454
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 11797034-4201 Utah

Profile Details

NPI number 1518577857
LBN Legal business name Fertell, Emma
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2020
Last updated Jun 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518577857 NPPES
Utah MEDICAID 1568869899

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