Frick, Glen S
Frick, Glen S is an sole proprietor health care provider with primary practice located at 495 E 4500 S Ste 200, Salt Lake City UT 84107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Frick, Glen S can be contacted via phone (801) 595-8844.Contact Information
Primary practice address
495 E 4500 S Ste 200
Salt Lake City UT 84107
Phone: (801) 595-8844
Fax: (801) 506-0188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD417392 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10534932-1205 | Utah |
Profile Details
| NPI number | 1699760629 |
|---|---|
| LBN Legal business name | Frick, Glen S |
| Credentials | M.D., PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Aug 31st, 2022 - about 2 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 | 1699760629 | NPPES |
| Pennsylvania | MEDICAID | 10101276 |
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