Tettelbach, William Harmon

Tettelbach, William Harmon is an individual health care provider with primary practice located at 1160 E 3900 S Ste G175 , Salt Lake City UT 84124-1202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Tettelbach, William Harmon can be contacted via phone (012) 687-4058.

Contact Information

Primary practice address
1160 E 3900 S Ste G175 Salt Lake City UT 84124-1202
Fax:
Website:

Health care specialties

Profile Details

NPI number 1336143361
LBN Legal business name Tettelbach, William Harmon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Oct 10th, 2022 - 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 1336143361 NPPES
Utah Other 3510051205 UTAH LICENSE
Utah MEDICAID 3714443 UTAH LICENSE

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