Maves, Constance K
Maves, Constance K is an individual health care provider with primary practice located at 100 N Medical Dr , Salt Lake City UT 84113-1103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Maves, Constance K can be contacted via phone (801) 662-1900.Contact Information
Primary practice address
100 N Medical Dr
Salt Lake City UT 84113-1103
Phone: (801) 662-1900
Fax: (801) 662-1810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 5010881-1205 | Utah |
Profile Details
| NPI number | 1063513596 |
|---|---|
| LBN Legal business name | Maves, Constance K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jun 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063513596 | NPPES |
| Utah | Other | 1070011544101 | SELECTHEALTH |
| Utah | Other | 1600468 | SELECTHEALTH |
| Utah | Other | 50108811200001 | SELECTHEALTH |
| Utah | Other | 67154 | SELECTHEALTH |
| Utah | Other | 870355724MAV | SELECTHEALTH |
| Utah | Other | 8550895 | SELECTHEALTH |
| Utah | Other | 31853 | SELECTHEALTH |
| Utah | Other | 35834 | SELECTHEALTH |
| Utah | Other | QM0000027099 | SELECTHEALTH |
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