Bennett, Lisa Thielen
Bennett, Lisa Thielen is an sole proprietor health care provider with primary practice located at 124 S 400 E Ste 335 , Salt Lake City UT 84111-5316. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bennett, Lisa Thielen can be contacted via phone (801) 443-2595.Contact Information
Primary practice address
124 S 400 E Ste 335
Salt Lake City UT 84111-5316
Phone: (801) 443-2595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1760152748 |
|---|---|
| LBN Legal business name | Bennett, Lisa Thielen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2021 |
| Last updated | Sep 20th, 2021 - about 5 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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