Ewer, Nicole Emily

Ewer, Nicole Emily is an individual health care provider with primary practice located at 4119 S Middlepark Ln , West Valley City UT 84119-5290. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Ewer, Nicole Emily can be contacted via phone (801) 995-8265.

Contact Information

Primary practice address
4119 S Middlepark Ln West Valley City UT 84119-5290
Phone: (801) 995-8265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1487369120
LBN Legal business name Ewer, Nicole Emily
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2023
Last updated Jan 17th, 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 1487369120 NPPES
Utah MEDICAID NA

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