Groberg, Darren Fadel
Groberg, Darren Fadel is an sole proprietor health care provider with primary practice located at 430 N 400 W , Salt Lake City UT 84103-1229. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Groberg, Darren Fadel can be contacted via phone (801) 532-1822.Contact Information
Primary practice address
430 N 400 W
Salt Lake City UT 84103-1229
Phone: (801) 532-1822
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 01 | Utah |
Profile Details
NPI number | 1396972469 |
---|---|
LBN Legal business name | Groberg, Darren Fadel |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 16th, 2009 |
Last updated | Apr 24th, 2018 - about 6 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 | 1396972469 | NPPES |
Utah | MEDICAID | 1396972469 |
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