Broadbent, Rex Craig
Broadbent, Rex Craig is an individual health care provider with primary practice located at 411 Grant St , Salt Lake City UT 84116-2725. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Broadbent, Rex Craig can be contacted via phone (801) 359-8862.Contact Information
Primary practice address
411 Grant St
Salt Lake City UT 84116-2725
Phone: (801) 359-8862
Fax: (801) 359-8510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6888110-6005 | Utah |
Profile Details
| NPI number | 1467753434 |
|---|---|
| LBN Legal business name | Broadbent, Rex Craig |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2010 |
| Last updated | Nov 8th, 2010 - about 15 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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