Matthew D Burnett, N.D. LAC.
Individual provider Active NPI Naturopath · Salt Lake City, UT
NPI 1669527271 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669527271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 5686708-7100 (UT)
- Practice address
- 989 E 900 S Ste A1
Salt Lake City, UT 84105-1452 - Phone
- (801) 363-8824
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5686708-7100 | UT | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 5686708-7100 | UT | Yes |
Addresses
Primary practice location
989 E 900 S Ste A1
Salt Lake City, UT 84105-1452
Mailing address
423 F St
Salt Lake City, UT 84103-2838
Phone (801) 363-8824
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.