Hansen, Justin
Hansen, Justin is an sole proprietor health care provider with primary practice located at 279 E 5900 S Ste 200 , Salt Lake City UT 84107-5424. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hansen, Justin can be contacted via phone (801) 671-3786.Contact Information
Primary practice address
279 E 5900 S Ste 200
Salt Lake City UT 84107-5424
Phone: (801) 671-3786
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8340879-9922 | Utah |
Profile Details
| NPI number | 1194082206 |
|---|---|
| LBN Legal business name | Hansen, Justin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2012 |
| Last updated | Jan 31st, 2018 - about 8 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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