Anjounique, Ericandre

Anjounique, Ericandre is an sole proprietor health care provider with primary practice located at 42 N 200 E Ste 1 , American Fork UT 84003-1739. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Anjounique, Ericandre can be contacted via phone (801) 396-8850.

Contact Information

Primary practice address
42 N 200 E Ste 1 American Fork UT 84003-1739
Phone: (801) 396-8850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 6145683-4701 Utah

Profile Details

NPI number 1508429036
LBN Legal business name Anjounique, Ericandre
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2019
Last updated Jun 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508429036 NPPES
Utah Other 6145683-4701 HTTPS://DOPL.UTAH.GOV/

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