Johnson, Beau William

Johnson, Beau William is an individual health care provider with primary practice located at 100 S 1000 W , Tooele UT 84074-4010. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Johnson, Beau William can be contacted via phone (801) 273-6507.

Contact Information

Primary practice address
100 S 1000 W Tooele UT 84074-4010
Phone: (801) 273-6507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1528550522
LBN Legal business name Johnson, Beau William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2018
Last updated Jun 5th, 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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