1811992928 NPI number — DR. JANET K HARNSBERGER M.D.

Table of content: DR. JANET K HARNSBERGER M.D. (NPI 1811992928)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811992928 NPI number — DR. JANET K HARNSBERGER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARNSBERGER
Provider First Name:
JANET
Provider Middle Name:
K
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811992928
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5770 S 250 E
Provider Second Line Business Mailing Address:
STE 330
Provider Business Mailing Address City Name:
MURRAY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84107-8104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-314-4444
Provider Business Mailing Address Fax Number:
801-314-4433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5770 S 250 E
Provider Second Line Business Practice Location Address:
STE 330
Provider Business Practice Location Address City Name:
MURRAY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84107-8104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-314-4444
Provider Business Practice Location Address Fax Number:
801-314-4433
Provider Enumeration Date:
06/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0206X , with the licence number:  165969-1205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com