Basic Information
Provider Information
NPI: 1508044314
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HINICH
FirstName: ERIN
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: RM 3C444
Address2: 30 NORTH 1900 EAST
City: SALT LAKE CITY
State: UT
PostalCode: 841320001
CountryCode: US
TelephoneNumber: 8015816393
FaxNumber:  
Practice Location
Address1: UNIVERSITY OF UTAH HOSPITAL
Address2: 50 NORTH MEDICAL DR.
City: SALT LAKE CITY
State: UT
PostalCode: 841320001
CountryCode: US
TelephoneNumber: 8015816393
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/04/2008
LastUpdateDate: 02/04/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X6020516-1205UTY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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