Mortensen, Spencer David

Mortensen, Spencer David is an sole proprietor health care provider with primary practice located at 462 E 100 S , Salt Lake City UT 84111-1802. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mortensen, Spencer David can be contacted via phone (801) 532-5176.

Contact Information

Primary practice address
462 E 100 S Salt Lake City UT 84111-1802
Phone: (801) 532-5176
Fax: (801) 532-5179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 109072-9934 Utah

Profile Details

NPI number 1548321078
LBN Legal business name Mortensen, Spencer David
Credentials O.D, F.A.A.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Nov 8th, 2021 - about 3 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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