Zarandona, J Manuel

Zarandona, J Manuel is an sole proprietor health care provider with primary practice located at 5121 Cottonwood St Intermountain Medical Center Dept. Of Pathology, Murray UT 84107-5701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Zarandona, J Manuel can be contacted via phone (801) 507-7970.

Contact Information

Primary practice address
5121 Cottonwood St Intermountain Medical Center Dept. Of Pathology Murray UT 84107-5701
Phone: (801) 507-7970
Fax: (801) 507-7996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 287202-1205 Utah
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 287202-1205 Utah
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD430434 Pennsylvania
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD430434 Pennsylvania

Profile Details

NPI number 1891951091
LBN Legal business name Zarandona, J Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2008
Last updated Aug 25th, 2009 - about 15 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 1891951091 NPPES
Idaho MEDICAID 808368300
Idaho MEDICAID 200246920A
Idaho MEDICAID 58089058

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