Haderlie, Scott Roberts

Haderlie, Scott Roberts is an individual health care provider with primary practice located at 747 S Main St , Brigham City UT 84302-3359. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Haderlie, Scott Roberts can be contacted via phone (435) 723-1800.

Contact Information

Primary practice address
747 S Main St Brigham City UT 84302-3359
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1142339934 Utah

Profile Details

NPI number 1386694677
LBN Legal business name Haderlie, Scott Roberts
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 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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