Manco, Justin
Manco, Justin is an individual health care provider with primary practice located at 415 Medical Dr Ste D101 , Bountiful UT 84010-8905. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Manco, Justin can be contacted via phone (801) 683-1062.Contact Information
Primary practice address
415 Medical Dr Ste D101
Bountiful UT 84010-8905
Phone: (801) 683-1062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 10190973-6004 | Utah |
Profile Details
| NPI number | 1992330732 |
|---|---|
| LBN Legal business name | Manco, Justin |
| Credentials | CMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2020 |
| Last updated | Oct 19th, 2020 - about 6 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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