Shaw, Gregory Glade

Shaw, Gregory Glade is an individual health care provider with primary practice located at 9361 S 300 E , Sandy UT 84070-2902. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Shaw, Gregory Glade can be contacted via phone (801) 826-5000.

Contact Information

Primary practice address
9361 S 300 E Sandy UT 84070-2902
Phone: (801) 826-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 390200000 Utah
Behavioral Health & Social Service Providers / School 1041S0200X Utah

Profile Details

NPI number 1538592340
LBN Legal business name Shaw, Gregory Glade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2013
Last updated Jun 15th, 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.

Request for update

Popular Providers