Niederee, Laurie A

Niederee, Laurie A is an individual health care provider with primary practice located at 9660 South 1300 East Alta View Hospital, Sandy UT 84094. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Niederee, Laurie A can be contacted via phone (801) 501-2600.

Contact Information

Primary practice address
9660 South 1300 East Alta View Hospital Sandy UT 84094
Phone: (801) 501-2600
Fax: (801) 733-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 181273-1205 Utah

Profile Details

NPI number 1386730851
LBN Legal business name Niederee, Laurie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 15th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386730851 NPPES
Wyoming MEDICAID 118915800
Wyoming MEDICAID 822462
Wyoming Other TPRA07467
Wyoming Other 73541
Wyoming MEDICAID 806732900
Wyoming Other QM0000075886
Wyoming Other 2090168
Wyoming Other 870545614LN2
Wyoming Other 9754
Wyoming Other 107006952102
Wyoming MEDICAID 100501271
Wyoming Other 1502954
Wyoming Other 264745

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