Nicholas, Peter Michael

Nicholas, Peter Michael is an individual health care provider with primary practice located at 780 Guardsman Way , Salt Lake City UT 84108-1374. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nicholas, Peter Michael can be contacted via phone (801) 581-0194.

Contact Information

Primary practice address
780 Guardsman Way Salt Lake City UT 84108-1374
Phone: (801) 581-0194
Fax: (801) 581-0193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1192563501 Utah

Profile Details

NPI number 1588643852
LBN Legal business name Nicholas, Peter Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Mar 17th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588643852 NPPES
Utah Other 289948 DESERET MUTUAL
Utah Other 107001279101 DESERET MUTUAL
Utah Other 942938348NI1 DESERET MUTUAL

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