Wallentine, Crystal Brennen
Wallentine, Crystal Brennen is an sole proprietor health care provider with primary practice located at 1937 E Saint Marys Dr , Slc UT 84108-2245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wallentine, Crystal Brennen can be contacted via phone (801) 865-0549.Contact Information
Primary practice address
1937 E Saint Marys Dr
Slc UT 84108-2245
Phone: (801) 865-0549
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3613633-1205 | Utah |
Profile Details
| NPI number | 1003060815 |
|---|---|
| LBN Legal business name | Wallentine, Crystal Brennen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2008 |
| Last updated | Jan 7th, 2023 - about last year |
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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