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
Phone: (012) 687-4058
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD 37898 | Tennessee |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 351005-1205 | Utah |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | MD0000037898 | Tennessee |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 351005-1205 | Utah |
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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336143361 | NPPES |
| Utah | Other | 3510051205 | UTAH LICENSE |
| Utah | MEDICAID | 3714443 | UTAH LICENSE |
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