Krull, Angela Marie Nicholson

Krull, Angela Marie Nicholson is an individual health care provider with primary practice located at 10011 Centennial Pkwy Suite 500, Sandy UT 84070-4156. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Krull, Angela Marie Nicholson can be contacted via phone (801) 676-7627.

Contact Information

Primary practice address
10011 Centennial Pkwy Suite 500 Sandy UT 84070-4156
Fax: (801) 676-7630
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 61429451205 Utah

Profile Details

NPI number 1649377540
LBN Legal business name Krull, Angela Marie Nicholson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 5th, 2008 - about 17 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 1649377540 NPPES
Utah Other 1316160534 GROUP NPI

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