Loveridge, Brian Willard

Loveridge, Brian Willard is an individual health care provider with primary practice located at 2086 N 1700 W Ste D , Layton UT 84041-1164. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Loveridge, Brian Willard can be contacted via phone (385) 515-4100.

Contact Information

Primary practice address
2086 N 1700 W Ste D Layton UT 84041-1164
Phone: (385) 515-4100
Fax: (385) 351-1150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10269 Nevada
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 10269 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1205 Utah

Profile Details

NPI number 1720080369
LBN Legal business name Loveridge, Brian Willard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 17th, 2018 - about 6 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 1720080369 NPPES
Nevada MEDICAID 002018840

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