Earl Seegrist in South Jordan - Exercise & Sports

Earl Seegrist - NPI 1134393895

Earl Seegrist is a Exercise & Sports in South Jordan, Utah. Earl Seegrist practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Earl Seegrist is 1134393895. The last update date is 2011-06-22.

Earl Seegrist's current location address is 1201 Douglas Cir, South Jordan, Utah. You can contact this provider via phone number 8016715254. The mailing address for Earl Seegrist is 1201 Douglas Cir, South Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Earl Seegrist
Address 1201 Douglas Cir, South Jordan, Utah
Phone Number 8016715254
Fax Number
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1134393895
Provider Enumeration Date 2008-04-14
Last Updated Date 2011-06-22

Provider Mailing Address Detail

Address 1201 Douglas Cir
City South Jordan
State Utah (UT)
Post Code 840959267
Phone Number 8016715254
Fax Number

Provider's Primary Taxonomy Detail

Speciality Exercise & Sports
Taxonomy 103Te1100X
Licence No 4809331-2501
Definition:
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
553174-000 MAGELLAN

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FAQs about Earl Seegrist

What is the unique provider identifier assigned to Earl Seegrist?

The Earl Seegrist has been issued the NPI (National Provider Identifier) 1134393895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Earl Seegrist?

The Earl Seegrist is physically situated at 1201 Douglas Cir, in the city of South Jordan, state of UT, with the postal code 840959267.

What is the Earl Seegrist's area of specialization and corresponding taxonomy classification?

The Earl Seegrist's specialty field is Exercise & Sports, and it falls under the taxonomy code 103Te1100X, which categorizes healthcare providers based on their specialties.

When did the Earl Seegrist receive its 1134393895?

The Earl Seegrist was issued its 1134393895 on 2008-04-14, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Earl Seegrist, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Earl Seegrist, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-06-22.

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