Leatherman, Carol A

Leatherman, Carol A is an individual health care provider with primary practice located at 750 Round Valley Dr Suite 200, Park City UT 84060-7548. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Leatherman, Carol A can be contacted via phone (435) 658-7246.

Contact Information

Primary practice address
750 Round Valley Dr Suite 200 Park City UT 84060-7548
Phone: (435) 658-7246
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA920 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9454093-1206 Utah

Profile Details

NPI number 1700834686
LBN Legal business name Leatherman, Carol A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 29th, 2017 - about 7 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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