Christoffer Layton Loderup, is a
Student In An Organized Health Care Education/training Program based in American Fork, Utah. Christoffer Layton Loderup is licensed to practice in * (Not Available) (license number ) and his current practice location is
548 E 300 S Ste 109, American Fork, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 980-2566.
NPI number for Christoffer Layton Loderup is 1699386441 and his current mailing address is 750 N Freedom Blvd, Provo, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699386441.
Healthcare Provider's Profile
| Full Name | Christoffer Layton Loderup |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 548 E 300 S Ste 109, American Fork, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699386441
- Provider Enumeration Date: 08/14/2020
- Last Update Date: 04/13/2021
Medical Identifiers
Medical identifiers for Christoffer Layton Loderup such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699386441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christoffer Layton Loderup is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Christoffer Layton Loderup,
750 N Freedom Blvd,
Provo, UT 84601-1677
Ph: (801) 373-4760 | Christoffer Layton Loderup,
548 E 300 S Ste 109,
American Fork, UT 84003-3845
Ph: (801) 980-2566 |
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