Steffensen, Mark

Steffensen, Mark is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Steffensen, Mark can be contacted via phone (801) 993-9582.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Phone: (801) 993-9582
Fax: (801) 733-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 87-177636-1205 Utah

Profile Details

NPI number 1912006016
LBN Legal business name Steffensen, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 17th, 2009 - about 15 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 1912006016 NPPES
Utah Other 37822 PEHP
Utah MEDICAID 825169 PEHP
Utah MEDICAID 804273100 PEHP
Utah MEDICAID 09071 PEHP
Utah MEDICAID 0020878700 PEHP
Utah Other 107006556101 PEHP
Utah MEDICAID 119682100 PEHP
Utah Other 2090168 20-00312 PEHP
Utah Other 870545614 84121 A029 PEHP
Utah Other 870545614ST2 PEHP
Utah Other PRA01907 PEHP
Utah Other 18414 PEHP

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