Brussard, Katie Lynne

Brussard, Katie Lynne is an individual health care provider with primary practice located at 2091 E 1300 S Ste 104 , Salt Lake City UT 84108-2277. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Brussard, Katie Lynne can be contacted via phone (801) 783-3801.

Contact Information

Primary practice address
2091 E 1300 S Ste 104 Salt Lake City UT 84108-2277
Phone: (801) 783-3801
Fax: (833) 606-3378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X NT60359284 Washington

Profile Details

NPI number 1497039036
LBN Legal business name Brussard, Katie Lynne
Credentials N.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2011
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497039036 NPPES
Washington Other NT60359284 NATUROPATHIC PHYSICIAN LICENSE
Washington Other 11065179-7100 NATUROPATHIC PHYSICIAN LICENSE

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