Haderlie, Emmaline Elisa

Haderlie, Emmaline Elisa is an individual health care provider with primary practice located at 30 N 1900 E , Salt Lake City UT 84132-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Haderlie, Emmaline Elisa can be contacted via phone (801) 581-7498.

Contact Information

Primary practice address
30 N 1900 E Salt Lake City UT 84132-0002
Phone: (801) 581-7498
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X D2L2E6L2 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1467298216
LBN Legal business name Haderlie, Emmaline Elisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2024
Last updated Jul 2nd, 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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