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
Fax: (801) 561-9987
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 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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