Lelis, John Walker

Lelis, John Walker is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lelis, John Walker can be contacted via phone (801) 507-4017.

Contact Information

Primary practice address
5121 S Cottonwood St Murray UT 84107-5701
Phone: (801) 507-4017
Fax: (801) 507-4809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 8516577-1206 Utah

Profile Details

NPI number 1275812208
LBN Legal business name Lelis, John Walker
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Apr 16th, 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 1275812208 NPPES
Utah MEDICAID 1275812208

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