1679590558 NPI number — ELIZABETH E AUGER DPM

Table of content: ELIZABETH E AUGER DPM (NPI 1679590558)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679590558 NPI number — ELIZABETH E AUGER DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AUGER
Provider First Name:
ELIZABETH
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPM
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:
1679590558
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 404
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIVERTON
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84065-0404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-619-2175
Provider Business Mailing Address Fax Number:
877-428-7520

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9355 S 1300 E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANDY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84094-3135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-619-2170
Provider Business Practice Location Address Fax Number:
877-428-7520
Provider Enumeration Date:
07/16/2006

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: 213E00000X , with the licence number:  3442000501 , 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)

  • Identifier: 3868800001 . This is a "RAILROAD" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".




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