Johnson, Matthew Truman
Johnson, Matthew Truman is an sole proprietor health care provider with primary practice located at 2860 E 19500 N , Moroni UT 84646. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Johnson, Matthew Truman can be contacted via phone (435) 436-9029.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | Utah |
Profile Details
| NPI number | 1932534260 |
|---|---|
| LBN Legal business name | Johnson, Matthew Truman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2013 |
| Last updated | Sep 5th, 2013 - about 13 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 | 1932534260 | NPPES |
| Utah | MEDICAID | 1235458555 |
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