Hendren, Angie Suzanne
Hendren, Angie Suzanne is an individual health care provider with primary practice located at 731 E 8600 S , Sandy UT 84094-6312. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hendren, Angie Suzanne can be contacted via phone (801) 561-9987.Contact Information
Primary practice address
731 E 8600 S
Sandy UT 84094-6312
Phone: (801) 561-9987
Fax: (801) 561-9987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 33024-6004 | Utah |
Profile Details
| NPI number | 1649225533 |
|---|---|
| LBN Legal business name | Hendren, Angie Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 10th, 2008 - about 18 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 | 1649225533 | NPPES |
| Utah | Other | 33020460001001 | REGENCE PROVIDER ID |
| Utah | Other | 870476172-008 | REGENCE PROVIDER ID |
| Utah | Other | 89204 | REGENCE PROVIDER ID |
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