Waites, Samuel Jackson
Waites, Samuel Jackson is an sole proprietor health care provider with primary practice located at 344 E 100 S Ste 301 , Salt Lake City UT 84111-1727. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Waites, Samuel Jackson can be contacted via phone (801) 428-4257.Contact Information
Primary practice address
344 E 100 S Ste 301
Salt Lake City UT 84111-1727
Phone: (801) 428-4257
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1871008052 |
|---|---|
| LBN Legal business name | Waites, Samuel Jackson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2017 |
| Last updated | Dec 9th, 2017 - about 8 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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