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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1891951091 | NPPES |
| Idaho | MEDICAID | 808368300 | |
| Idaho | MEDICAID | 200246920A | |
| Idaho | MEDICAID | 58089058 |
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