Nielsen, Douglas Brent
Nielsen, Douglas Brent is an individual health care provider with primary practice located at 390 N Main St , Bountiful UT 84010-6046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nielsen, Douglas Brent can be contacted via phone (801) 294-1080.Contact Information
Primary practice address
390 N Main St
Bountiful UT 84010-6046
Phone: (801) 294-1080
Fax: (801) 292-8369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1648271205 | Utah |
Profile Details
| NPI number | 1366481806 |
|---|---|
| LBN Legal business name | Nielsen, Douglas Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 26th, 2009 - 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 | 1366481806 | NPPES |
| Utah | MEDICAID | 942854057086 |
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