Mullaly, Thomas Evan
Mullaly, Thomas Evan is an individual health care provider with primary practice located at 411 N Grant St , Salt Lake City UT 84116-2725. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Mullaly, Thomas Evan can be contacted via phone (801) 359-8862.Contact Information
Primary practice address
411 N Grant St
Salt Lake City UT 84116-2725
Phone: (801) 359-8862
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 796 | Utah |
Profile Details
| NPI number | 1669983417 |
|---|---|
| LBN Legal business name | Mullaly, Thomas Evan |
| Credentials | PSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2017 |
| Last updated | Oct 19th, 2017 - about 9 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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