Healthcare Provider Details

I. General information

NPI: 1013779867
Provider Name (Legal Business Name): SOLVEIG HOAG SUDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11978 S REDWOOD RD STE B
RIVERTON UT
84065-7403
US

IV. Provider business mailing address

1907 E BROOKLYN CIR
SARATOGA SPRINGS UT
84045-5434
US

V. Phone/Fax

Practice location:
  • Phone: 801-679-3921
  • Fax:
Mailing address:
  • Phone: 602-317-2814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number314757-6006
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: