Mooers, Mary Gretchen
Mooers, Mary Gretchen is an individual health care provider with primary practice located at 324 Tenth Ave Suite # 160, Salt Lake City UT 84103-2853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Mooers, Mary Gretchen can be contacted via phone (801) 408-5151.Contact Information
Primary practice address
324 Tenth Ave Suite # 160
Salt Lake City UT 84103-2853
Phone: (801) 408-5151
Fax: (801) 408-3598
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 173770-1205 | Utah |
Profile Details
NPI number | 1609823889 |
---|---|
LBN Legal business name | Mooers, Mary Gretchen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1609823889 | NPPES |
Utah | Other | 9200054 | UHC |
Utah | Other | 00558 | UHC |
Utah | Other | 2748 | UHC |
Utah | Other | 71116 | UHC |
Utah | Other | 357645 | UHC |
Utah | Other | 274 | UHC |
Utah | MEDICAID | 2099000 | UHC |
Utah | Other | 224999 | UHC |
Utah | Other | 870623071M01 | UHC |
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