Ferris, Amber Maree Carlson

Ferris, Amber Maree Carlson is an sole proprietor health care provider with primary practice located at 34 S Main St , Tooele UT 84074-2132. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ferris, Amber Maree Carlson can be contacted via phone (435) 843-1677.

Contact Information

Primary practice address
34 S Main St Tooele UT 84074-2132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Utah

Profile Details

NPI number 1972159168
LBN Legal business name Ferris, Amber Maree Carlson
Credentials CPSS, CM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2019
Last updated Jan 26th, 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 1972159168 NPPES
Utah MEDICAID 1972159168

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