Bezemer, Thomas
Bezemer, Thomas is an individual health care provider with primary practice located at 7600 Glenwild Dr , Park City UT 84098-5587. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bezemer, Thomas can be contacted via phone (435) 901-1139.Contact Information
Primary practice address
7600 Glenwild Dr
Park City UT 84098-5587
Phone: (435) 901-1139
Fax: (435) 940-9127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 49452432401 | Utah |
Profile Details
| NPI number | 1679628002 |
|---|---|
| LBN Legal business name | Bezemer, Thomas |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Nov 30th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679628002 | NPPES |
| Utah | MEDICAID | 280669988016 |
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