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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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