NPIMap

Emily Ann Bates

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · South Jordan, UT

NPI 1942517792 · NPPES record last updated Aug 31, 2010

Key facts

NPI
1942517792
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
7050801-1702 (UT)
Practice address
10920 River Front Pkwy
South Jordan, UT 84095-3538
Phone
(801) 302-2600
Fax
(801) 302-0768
NPI assigned
Aug 31, 2010
Sex
Female
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

LicenseStateTypeSpecialty
7050801-1702UTMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 7050801-1702 UT Yes

Addresses

Primary practice location

10920 River Front Pkwy
South Jordan, UT 84095-3538

Mailing address

10920 River Front Pkwy
South Jordan, UT 84095-3538
Phone (801) 302-2600

Other names

  • Emily Ann Wheeler Former name

Other providers in South Jordan, UT

All providers in South Jordan, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.