Tanner, Malcolm

Tanner, Malcolm is an sole proprietor health care provider with primary practice located at 770 S Denver St , Salt Lake City UT 84111-3938. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Tanner, Malcolm can be contacted via phone (801) 889-5176.

Contact Information

Primary practice address
770 S Denver St Salt Lake City UT 84111-3938
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1730756495
LBN Legal business name Tanner, Malcolm
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2021
Last updated Jun 9th, 2021 - 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.

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