Nathan Hendriksen, AUD | |
2255 N 1700 W Ste 200, Layton, UT 84041-1187 | |
(801) 776-2180 | |
(801) 776-2534 |
Full Name | Nathan Hendriksen |
---|---|
Gender | Male |
Speciality | Audiologist |
Location | 2255 N 1700 W Ste 200, Layton, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386075752 | NPI | - | NPPES |
1386075752 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 8705205-4101 (Utah) | Primary |
Provider Name | Ogden Clinic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780 |
Provider Name | University Of Utah Adult Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
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Nathan Hendriksen, AUD Po Box 5546, Denver, CO 80217-5546 Ph: (801) 776-2180 | Nathan Hendriksen, AUD 2255 N 1700 W Ste 200, Layton, UT 84041-1187 Ph: (801) 776-2180 |
Mr. Mitch Smeding Wangsgard, Audiologist Medicare: Medicare Enrolled Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 | |
Christine Osborne, Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1660 W Antelope Dr, Layton, UT 84041 Phone: 801-785-7237 | |
Ms. Jennifer Call Shepherd, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 70 S Fairfield Rd, Layton, UT 84041 Phone: 801-444-0300 | |
Dr. Monica Joanna Woods, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 | |
Michael Cox, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1580 W Antelope Dr Ste 200, Layton, UT 84041 Phone: 801-508-4327 Fax: 801-912-4327 | |
Bryan Alden Mortensen, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 |