Hendriksen, Nathan
Hendriksen, Nathan is an individual health care provider with primary practice located at 2255 N 1700 W Ste 200 , Layton UT 84041-1187. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Hendriksen, Nathan can be contacted via phone (801) 776-2180.Contact Information
Primary practice address
2255 N 1700 W Ste 200
Layton UT 84041-1187
Phone: (801) 776-2180
Fax: (801) 776-2534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 8705205-4101 | Utah |
Profile Details
| NPI number | 1386075752 |
|---|---|
| LBN Legal business name | Hendriksen, Nathan |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2013 |
| Last updated | Nov 3rd, 2021 - about 5 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 | 1386075752 | NPPES |
| Utah | MEDICAID | 1386075752 |
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