Staheli, John K

Staheli, John K is an individual health care provider with primary practice located at 1055 N 500 W Suite 212, Provo UT 84604-3305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Staheli, John K can be contacted via phone (801) 374-2362.

Contact Information

Primary practice address
1055 N 500 W Suite 212 Provo UT 84604-3305
Phone: (801) 374-2362
Fax: (801) 429-8196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 318981-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3189811205 Utah

Profile Details

NPI number 1275591620
LBN Legal business name Staheli, John K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 27th, 2023 - about 2 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 1275591620 NPPES
Utah Other 44007 PEHP
Utah Other QM0000000066 PEHP
Utah Other 110149403 PEHP
Utah MEDICAID 870281028000 PEHP
Utah Other 870281028ST1 PEHP
Utah Other 107008295101 PEHP
Utah Other 308186 PEHP

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