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SHAWN D. MCQUILKIN MD NPI 1740446160


NPI Information

NPI: 1740446160
Provider Name: SHAWN D. MCQUILKIN, MD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1117 COUNTRY HILLS DR
SUITE #3
OGDEN, UT
ZIP 84403
Phone: (801) 829-8881
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SHAWN D. MCQUILKIN, MD is a primary care clinic center in Ogden, UT. SHAWN D. MCQUILKIN, MD NPI is 1740446160. The provider is registered as an organization entity type.

The provider's business location address is:

1117 COUNTRY HILLS DR
SUITE #3
OGDEN, UT
ZIP 84403-559
Phone: (801) 829-8881
Fax: (801) 528-3320

The provider's authorized official is Shawn David Mcquilkin .
The authorized official title is Owner and has the following contact phone number (801) 829-8881.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 8/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care1761771205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E31819MEDICARE UPINUTAH
2000001352MEDICARE PINUTAH
31761771205OTHERUTAHSTATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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