Nordgren, Rick

Nordgren, Rick is an individual health care provider with primary practice located at 1791 E 280 N , St George UT 84790-2400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Nordgren, Rick can be contacted via phone (435) 656-2020.

Contact Information

Primary practice address
1791 E 280 N St George UT 84790-2400
Phone: (435) 656-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 11363238-1205 Utah
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01075209B Indiana
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 19279 Nevada
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 11363238-1205 Utah

Profile Details

NPI number 1629364054
LBN Legal business name Nordgren, Rick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Nov 21st, 2019 - about 5 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 1629364054 NPPES
Indiana MEDICAID 201285680
Indiana Other U000104096

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