Hendarto, Heru
Hendarto, Heru is an sole proprietor health care provider with primary practice located at 755 Justin Kay Ct , Salt Lake City UT 84104-1619. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Hendarto, Heru can be contacted via phone (801) 599-7471.Contact Information
Primary practice address
755 Justin Kay Ct
Salt Lake City UT 84104-1619
Phone: (801) 599-7471
Fax: (801) 956-0741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4841650-4102 | Utah |
Profile Details
| NPI number | 1235449539 |
|---|---|
| LBN Legal business name | Hendarto, Heru |
| Credentials | MD,MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2010 |
| Last updated | Oct 20th, 2010 - about 16 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 | 1235449539 | NPPES |
| Utah | Other | 4841650-4102 | STATE SLP LISENCE |
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