Van Der Veur, Frederick

Van Der Veur, Frederick is an individual health care provider with primary practice located at 1020 South Main Street 242, Salt Lake City UT 84101. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Der Veur, Frederick can be contacted via phone (801) 539-7093.

Contact Information

Primary practice address
1020 South Main Street 242 Salt Lake City UT 84101
Phone: (801) 539-7093
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1163593501 Utah

Profile Details

NPI number 1780655407
LBN Legal business name Van Der Veur, Frederick
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 2nd, 2012 - about 14 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 1780655407 NPPES
Utah MEDICAID 1780655407
Utah Other 11635935003001
Utah Other 1163593501
Utah Other P00204131

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