Malouf, John Lawrence
Malouf, John Lawrence is an individual health care provider with primary practice located at 4460 S Highland Dr Ste 100 , Salt Lake City UT 84124-3550. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Malouf, John Lawrence can be contacted via phone (801) 539-7000.Contact Information
Primary practice address
4460 S Highland Dr Ste 100
Salt Lake City UT 84124-3550
Phone: (801) 539-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 221073392501 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 107339-2501 | Utah |
Profile Details
| NPI number | 1104801620 |
|---|---|
| LBN Legal business name | Malouf, John Lawrence |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Apr 13th, 2022 - about 4 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 | 1104801620 | NPPES |
| Utah | Other | R34637 | MEDICARE ADVANTAGE |
| Utah | Other | 261751 | MEDICARE ADVANTAGE |
| Utah | Other | 942938348MA5 | MEDICARE ADVANTAGE |
| Utah | Other | 1007001402101 | MEDICARE ADVANTAGE |
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