Mortensen, Ryan J
Mortensen, Ryan J is an individual health care provider with primary practice located at 11506 S District Dr Ste 400, South Jordan UT 84095-5769. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mortensen, Ryan J can be contacted via phone (801) 495-4833.Contact Information
Primary practice address
11506 S District Dr Ste 400
South Jordan UT 84095-5769
Phone: (801) 495-4833
Fax: (801) 495-4836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5898711-9934 | Utah |
Profile Details
| NPI number | 1003818576 |
|---|---|
| LBN Legal business name | Mortensen, Ryan J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jan 7th, 2016 - about 8 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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