Van Rum, Travis Corey
Van Rum, Travis Corey is an sole proprietor health care provider with primary practice located at 130 W Main St , Lehi UT 84043-2100. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Rum, Travis Corey can be contacted via phone (801) 891-6489.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7722193-3502 | Utah |
Profile Details
| NPI number | 1043511827 |
|---|---|
| LBN Legal business name | Van Rum, Travis Corey |
| Credentials | Certified Social Worker (CSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2010 |
| Last updated | Nov 9th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043511827 | NPPES |
| Utah | MEDICAID | 1770721300 |
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