Boman, Adam Spencer
Boman, Adam Spencer is an sole proprietor health care provider with primary practice located at 90 E 200 N , Logan UT 84321-4034. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Boman, Adam Spencer can be contacted via phone (435) 752-0750.Contact Information
Primary practice address
90 E 200 N
Logan UT 84321-4034
Phone: (435) 752-0750
Fax: (435) 752-7433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1205137916 |
|---|---|
| LBN Legal business name | Boman, Adam Spencer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2010 |
| Last updated | Nov 11th, 2010 - about 16 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 | 1205137916 | NPPES |
| Utah | MEDICAID | 1026 |
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