Lederhaus, Keith Michael
Lederhaus, Keith Michael is an individual health care provider with primary practice located at 344 E 100 S , Salt Lake City UT 84111-1700. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lederhaus, Keith Michael can be contacted via phone (801) 322-4257.Contact Information
Primary practice address
344 E 100 S
Salt Lake City UT 84111-1700
Phone: (801) 322-4257
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1639449382 |
|---|---|
| LBN Legal business name | Lederhaus, Keith Michael |
| Credentials | Certified Social Worker (CSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2012 |
| Last updated | Jan 11th, 2012 - about 14 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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