Winn, Robert T
Winn, Robert T is an individual health care provider with primary practice located at 1665 Bonanza Dr , Park City UT 84060-5127. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Winn, Robert T can be contacted via phone (435) 649-7640.Contact Information
Primary practice address
1665 Bonanza Dr
Park City UT 84060-5127
Phone: (435) 649-7640
Fax: (435) 649-1365
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Legal Medicine | 173000000X | 158083-1205 | Utah |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 158083-1205 | Utah |
Profile Details
NPI number | 1912951393 |
---|---|
LBN Legal business name | Winn, Robert T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2006 |
Last updated | Aug 31st, 2012 - about 13 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 | 1912951393 | NPPES |
Utah | MEDICAID | D5138 |
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