Wixom, Steven M

Wixom, Steven M is an individual health care provider with primary practice located at 702 E South Temple #102, Salt Lake City UT 84102-1204. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Wixom, Steven M can be contacted via phone (801) 328-8535.

Contact Information

Primary practice address
702 E South Temple #102 Salt Lake City UT 84102-1204
Fax: (801) 364-1242
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 275343-2401 Utah

Profile Details

NPI number 1093716680
LBN Legal business name Wixom, Steven M
Credentials PT, DPT, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093716680 NPPES
Utah Other CJ9402 RAILROAD MEDICARE
Utah Other 27534324000001 RAILROAD MEDICARE
Utah Other 6400654 RAILROAD MEDICARE
Utah Other 69156 RAILROAD MEDICARE
Utah Other 5417 RAILROAD MEDICARE
Utah Other 1108540001 RAILROAD MEDICARE
Utah Other 870388269BR1 RAILROAD MEDICARE

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