Petersen, Everett Mark
Petersen, Everett Mark is an individual health care provider with primary practice located at 9660 South 1300 East Alta View Hospital, Sandy UT 84094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Petersen, Everett Mark 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:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | TRN11004 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 370770-1205 | Utah |
Profile Details
| NPI number | 1508061177 |
|---|---|
| LBN Legal business name | Petersen, Everett Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| 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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