Sanders, Bart Steven

Sanders, Bart Steven is an sole proprietor health care provider with primary practice located at 5030 Harrison Blvd , Ogden UT 84403-4311. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Sanders, Bart Steven can be contacted via phone (801) 387-5600.

Contact Information

Primary practice address
5030 Harrison Blvd Ogden UT 84403-4311
Phone: (801) 387-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 6855549-4408 Utah

Profile Details

NPI number 1760788160
LBN Legal business name Sanders, Bart Steven
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2011
Last updated Sep 13th, 2021 - about 3 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 1760788160 NPPES
Utah MEDICAID 876000308007

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