Waterfall, Brian T

Waterfall, Brian T is an individual health care provider with primary practice located at 9660 South 1300 East Alta View Hospital, Sandy UT 84094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Waterfall, Brian T can be contacted via phone (801) 501-2600.

Contact Information

Primary practice address
9660 South 1300 East Alta View Hospital Sandy UT 84094
Phone: (801) 501-2600
Fax: (801) 733-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 179925-1205 Utah

Profile Details

NPI number 1528161593
LBN Legal business name Waterfall, Brian T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Oct 15th, 2012 - about 12 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 1528161593 NPPES
Utah Other 870545614WA3 EDUCATORS MUTUAL
Utah Other QM0000075886 EDUCATORS MUTUAL
Utah MEDICAID 118885200 EDUCATORS MUTUAL
Utah Other 2090168 EDUCATORS MUTUAL
Utah Other 73553 EDUCATORS MUTUAL
Utah Other 107005771102 EDUCATORS MUTUAL
Utah MEDICAID 100501229 EDUCATORS MUTUAL
Utah Other 20086 EDUCATORS MUTUAL
Utah MEDICAID 820664 EDUCATORS MUTUAL
Utah MEDICAID 003036800 EDUCATORS MUTUAL
Utah Other 9288 EDUCATORS MUTUAL
Utah Other PRA02103 EDUCATORS MUTUAL
Utah Other 1502954 EDUCATORS MUTUAL

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