Fidler, Alan Eugene

Fidler, Alan Eugene is an individual health care provider with primary practice located at 4914 So Stone Crest Dr , Murray UT 84107. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Sonography, which is considered as his primary health care specialty. Fidler, Alan Eugene can be contacted via phone (801) 541-5225.

Contact Information

Primary practice address
4914 So Stone Crest Dr Murray UT 84107
Phone: (801) 541-5225
Fax: (801) 265-2234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 246XS1301X 32536 Utah

Profile Details

NPI number 1114097706
LBN Legal business name Fidler, Alan Eugene
Credentials Registered Diagnostic Cardiac Sonographer (RDCS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1114097706 NPPES
Utah MEDICAID 870443539001

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