Liu, Ellen Anita

Liu, Ellen Anita is an individual health care provider with primary practice located at 1200 E 3900 S , Salt Lake City UT 84124-1300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Liu, Ellen Anita can be contacted via phone (801) 268-7111.

Contact Information

Primary practice address
1200 E 3900 S Salt Lake City UT 84124-1300
Phone: (801) 268-7111
Fax: (801) 296-1715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 319324-1205 Utah

Profile Details

NPI number 1790784965
LBN Legal business name Liu, Ellen Anita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 2nd, 2011 - about 13 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 1790784965 NPPES
Nevada MEDICAID 100507140
Nevada MEDICAID 117188700

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