Mortensen, Bartley Brett
Mortensen, Bartley Brett is an individual health care provider with primary practice located at 1055 N 500 W Suite 122, Provo UT 84604-3305. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mortensen, Bartley Brett can be contacted via phone (801) 429-0610.Contact Information
Primary practice address
1055 N 500 W Suite 122
Provo UT 84604-3305
Phone: (801) 429-0610
Fax: (801) 429-0629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 51321992401 | Utah |
Profile Details
| NPI number | 1659473361 |
|---|---|
| LBN Legal business name | Mortensen, Bartley Brett |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jan 11th, 2010 - about 15 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 | 1659473361 | NPPES |
| Utah | Other | 827322 | DMBA |
| Utah | Other | 219420 | DMBA |
| Utah | Other | 64-00662 | DMBA |
| Utah | Other | 76205 | DMBA |
| Utah | Other | P00146137 | DMBA |
| Utah | MEDICAID | 870281028000 | DMBA |
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