Smith, David Alan

Smith, David Alan is an individual health care provider with primary practice located at 100 S 1000 W , Tooele UT 84074-4010. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Smith, David Alan can be contacted via phone (435) 843-3520.

Contact Information

Primary practice address
100 S 1000 W Tooele UT 84074-4010
Phone: (435) 843-3520
Fax: (435) 843-3555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1296206004 Utah

Profile Details

NPI number 1114997079
LBN Legal business name Smith, David Alan
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 9th, 2007 - about 19 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 1114997079 NPPES
Utah Other 107001587101 INTRMTN. HEALTH CARE
Utah Other 297800 INTRMTN. HEALTH CARE
Utah Other 942938348SH1 INTRMTN. HEALTH CARE

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