Hartvigsen, Richard N

Hartvigsen, Richard N is an individual health care provider with primary practice located at 630 Medical Dr , Bountiful UT 84010-4908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hartvigsen, Richard N can be contacted via phone (801) 299-2200.

Contact Information

Primary practice address
630 Medical Dr Bountiful UT 84010-4908
Phone: (801) 299-2200
Fax: (801) 296-6199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 150506-1205 Utah

Profile Details

NPI number 1144201120
LBN Legal business name Hartvigsen, Richard N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jan 31st, 2011 - about 13 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 1144201120 NPPES
Utah MEDICAID 04058
Utah Other 300083844
Utah Other 278691
Utah Other 87029475500001

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