Willardson, Debra

Willardson, Debra is an individual health care provider with primary practice located at 1825 E South Campus Dr Athletics Dept., Salt Lake City UT 84112-0900. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Willardson, Debra can be contacted via phone (801) 581-4836.

Contact Information

Primary practice address
1825 E South Campus Dr Athletics Dept. Salt Lake City UT 84112-0900
Phone: (801) 581-4836
Fax: (801) 585-5005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 1216584810 Utah

Profile Details

NPI number 1467513713
LBN Legal business name Willardson, Debra
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 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 1467513713 NPPES
Utah Other 2255A2300X ATHLETIC TRAINER

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