Ilstrup, Sarah Jane

Ilstrup, Sarah Jane is an individual health care provider with primary practice located at 8Th Avenue & C Street , Salt Lake City UT 84143-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Ilstrup, Sarah Jane can be contacted via phone (801) 408-2285.

Contact Information

Primary practice address
8Th Avenue & C Street Salt Lake City UT 84143-0001
Phone: (801) 408-2285
Fax: (801) 408-5196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 316585-1205 Utah

Profile Details

NPI number 1104895598
LBN Legal business name Ilstrup, Sarah Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 3rd, 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 1104895598 NPPES
Utah MEDICAID 870326048001D4805

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