Hyngstrom, John Robert

Hyngstrom, John Robert is an individual health care provider with primary practice located at 1950 Circle Of Hope Dr Suite N6405, Salt Lake City UT 84112-5500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Hyngstrom, John Robert can be contacted via phone (801) 587-8808.

Contact Information

Primary practice address
1950 Circle Of Hope Dr Suite N6405 Salt Lake City UT 84112-5500
Phone: (801) 587-8808
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036114739 Illinois
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 8351251-1205 Utah
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X N6371 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 8351251-1205 Utah

Profile Details

NPI number 1780832469
LBN Legal business name Hyngstrom, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Oct 20th, 2021 - about 3 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 1780832469 NPPES
Texas MEDICAID 215392601

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