Gotberg, Nicole M
Gotberg, Nicole M is an sole proprietor health care provider with primary practice located at 195 N 1950 W , Salt Lake City UT 84116-3100. She recently has 2 registered licenses in different health care specialties including Agencies / Foster Care Agency, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gotberg, Nicole M can be contacted via phone (801) 538-4001.Contact Information
Primary practice address
195 N 1950 W
Salt Lake City UT 84116-3100
Phone: (801) 538-4001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 9450078-3503 | Utah |
Profile Details
| NPI number | 1407288145 |
|---|---|
| LBN Legal business name | Gotberg, Nicole M |
| Credentials | SSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2013 |
| Last updated | Sep 22nd, 2015 - about 11 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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