Moritz, Mark E
Moritz, Mark E is an sole proprietor health care provider with primary practice located at 1220 E 3900 S Ste 4D , Salt Lake City UT 84124-1383. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Moritz, Mark E can be contacted via phone (801) 269-9939.Contact Information
Primary practice address
1220 E 3900 S Ste 4D
Salt Lake City UT 84124-1383
Phone: (801) 269-9939
Fax: (801) 269-9949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 326705-0501 | Utah |
Profile Details
| NPI number | 1245297688 |
|---|---|
| LBN Legal business name | Moritz, Mark E |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Aug 30th, 2023 - about 2 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 | 1245297688 | NPPES |
| Utah | MEDICAID | 91549704030 |
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