Tanner, Ethan

Tanner, Ethan is an sole proprietor health care provider with primary practice located at 1384 W 425 S , Layton UT 84041-3671. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Tanner, Ethan can be contacted via phone (385) 288-2160.

Contact Information

Primary practice address
1384 W 425 S Layton UT 84041-3671
Phone: (385) 288-2160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1861243677
LBN Legal business name Tanner, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2024
Last updated Mar 29th, 2024 - about 2 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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