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
Phone: (801) 328-8535
Fax: (801) 364-1242
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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