Wetzel, James D

Wetzel, James D is an individual health care provider with primary practice located at 195 W 7200 S , Midvale UT 84047-3703. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wetzel, James D can be contacted via phone (801) 565-6900.

Contact Information

Primary practice address
195 W 7200 S Midvale UT 84047-3703
Phone: (801) 565-6900
Fax: (801) 569-0899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 221197743501 Utah

Profile Details

NPI number 1801875778
LBN Legal business name Wetzel, James D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1801875778 NPPES
Utah Other 11977435000001 BLUE CROSS
Utah Other 107011001101 BLUE CROSS
Utah Other 740396 BLUE CROSS

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