Vanderhooft, Sheryll Land
Vanderhooft, Sheryll Land is an individual health care provider with primary practice located at 100 Mario Capecchi Dr , Salt Lake City UT 84112-8924. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Vanderhooft, Sheryll Land can be contacted via phone (801) 581-2955.Contact Information
Primary practice address
100 Mario Capecchi Dr
Salt Lake City UT 84112-8924
Phone: (801) 581-2955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2752851205 | Utah |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 2752851205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 2752851205 | Utah |
Profile Details
| NPI number | 1356426829 |
|---|---|
| LBN Legal business name | Vanderhooft, Sheryll Land |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Dec 20th, 2021 - about 4 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 | 1356426829 | NPPES |
| Arizona | MEDICAID | 393158 | |
| Arizona | MEDICAID | 002087219 | |
| Arizona | MEDICAID | 10025133700 | |
| Arizona | MEDICAID | MD391UT | |
| Arizona | MEDICAID | 000W4615 | |
| Arizona | MEDICAID | 003054400 | |
| Arizona | MEDICAID | 0098209 | |
| Arizona | MEDICAID | 870468377001 |
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