Poulsen, Gerald Parker
Poulsen, Gerald Parker is an sole proprietor health care provider with primary practice located at 3105 W 5400 S , Taylorsville UT 84118-2200. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Poulsen, Gerald Parker can be contacted via phone (801) 969-6236.Contact Information
Primary practice address
3105 W 5400 S
Taylorsville UT 84118-2200
Phone: (801) 969-6236
Fax: (801) 966-4572
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 131024-9921 | Utah |
Profile Details
NPI number | 1164580197 |
---|---|
LBN Legal business name | Poulsen, Gerald Parker |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 4th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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