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BLACKHAWK INSURANCE
Address:
1756 E 700 S
SPRINGVILLE, UT 84663
Phone
801-358-8558
URL:
Email:
mortensen1998@msn.com
National Producer Number:
16195748
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License Information
License Type
License Number
Original Issue Date
Status
Effective Date
Expiration Date
Non-Res. Producer Firm
3550509
06/17/2020
Active
06/17/2020
06/30/2026
Qual Information
Qualification Type
Original Issue Date
Status
Effective Date
Health
06/17/2020
Active
06/17/2020
Life
06/17/2020
Active
06/17/2020
3 Appointments
106276
Company Name
Appointment Type
Status
Active Date
AETNA HEALTH INC (PA)
Health
Active
10/28/2023
7
Company Name
Appointment Type
Status
Active Date
AETNA LIFE INSURANCE COMPANY
Health
Active
12/07/2023
17687
Company Name
Appointment Type
Status
Active Date
MOLINA HEALTHCARE OF NEVADA INC
Health
Active
07/14/2022
row(s) 1 - 3 of 3
1 Individual Associations
Name
Association Type
Agent
Begin Date
End Date
MATTHEW WILLIAM MORTENSEN
Designated Resp Lic Prdcr
Yes
06/17/2020
-
1 - 1