Earl, Holly R
Earl, Holly R is an sole proprietor health care provider with primary practice located at 1400 Foothill Dr #112, Slc UT 84108-2327. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Earl, Holly R can be contacted via phone (801) 759-0101.Contact Information
Primary practice address
1400 Foothill Dr #112
Slc UT 84108-2327
Phone: (801) 759-0101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 133518-3501 | Utah |
Profile Details
| NPI number | 1366516775 |
|---|---|
| LBN Legal business name | Earl, Holly R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366516775 | NPPES |
| Utah | Other | 76636 | PEHP |
| Utah | Other | 278803 | PEHP |
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