Wallentine, Steven L

Wallentine, Steven L is an individual health care provider with primary practice located at 1055 N 500 W Suite 202, Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wallentine, Steven L can be contacted via phone (801) 374-2367.

Contact Information

Primary practice address
1055 N 500 W Suite 202 Provo UT 84604-3305
Phone: (801) 374-2367
Fax: (801) 429-8015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 60986311205 Utah

Profile Details

NPI number 1790736122
LBN Legal business name Wallentine, Steven L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 27th, 2023 - 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 1790736122 NPPES
Utah Other 87028102800B EMIA
Utah MEDICAID 870281028000 EMIA
Utah Other 88780 EMIA
Utah Other 933849 EMIA
Utah Other P00345446 EMIA
Utah Other I62333 EMIA
Utah Other 36-00187 EMIA
Utah Other 107046686101 EMIA
Utah Other 285195 EMIA
Utah Other 6098631120000 EMIA

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