Berthold, Craig W
Berthold, Craig W is an sole proprietor health care provider with primary practice located at 415 Medical Dr Suite C100, Bountiful UT 84010-4946. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Berthold, Craig W can be contacted via phone (801) 292-2389.Contact Information
Primary practice address
415 Medical Dr Suite C100
Bountiful UT 84010-4946
Phone: (801) 292-2389
Fax: (801) 292-2873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 120978-3501 | Utah |
Profile Details
| NPI number | 1316088586 |
|---|---|
| LBN Legal business name | Berthold, Craig W |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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