Justin F Thulin in Salt Lake Cty - Dermatology

Justin F Thulin - NPI 1023057098

Justin F Thulin is a Dermatology in Salt Lake Cty, Utah. Justin F Thulin practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Justin F Thulin is 1023057098. The last update date is 2007-10-26.

Justin F Thulin's current location address is 1151 E 3900 S, Salt Lake Cty, Utah. You can contact this provider via phone number 8012667325 and fax number 8012812263. The mailing address for Justin F Thulin is 1151 E 3900 S, Salt Lake Cty, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin F Thulin
Address 1151 E 3900 S, Salt Lake Cty, Utah
Phone Number 8012667325
Fax Number 8012812263
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1023057098
Provider Enumeration Date 2006-06-05
Last Updated Date 2007-10-26

Provider Mailing Address Detail

Address 1151 E 3900 S
City Salt Lake Cty
State Utah (UT)
Post Code 841241259
Phone Number 8012667325
Fax Number 8012812263

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 3259971205
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9311824424 UT TAX ID NUMBER

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FAQs about Justin F Thulin

What is the unique identifier code issued to Justin F Thulin by the Centers for Medicare & Medicaid Services (CMS)?

The Justin F Thulin has been assigned the NPI (National Provider Identifier) 1023057098. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Justin F Thulin is physically located?

The Justin F Thulin is physically situated at the following address: 1151 E 3900 S, Salt Lake Cty, UT, 841241259.

What is the area of specialization for Justin F Thulin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Justin F Thulin is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.

On what date did Justin F Thulin receive its 1023057098 assignment from the Centers for Medicare & Medicaid Services?

The Justin F Thulin was assigned its 1023057098 on 2006-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Justin F Thulin's details last updated?

The information pertaining to the Justin F Thulin, including its address, specialty, and other details, was most recently updated on 2007-10-26.

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