Alldredge, Geraldine
Alldredge, Geraldine is an sole proprietor health care provider with primary practice located at 1220 N Main St Ste 4 , Springville UT 84663-4014. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Alldredge, Geraldine can be contacted via phone (801) 804-1028.Contact Information
Primary practice address
1220 N Main St Ste 4
Springville UT 84663-4014
Phone: (801) 804-1028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1131742501 | Utah |
Profile Details
| NPI number | 1598877706 |
|---|---|
| LBN Legal business name | Alldredge, Geraldine |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Mar 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598877706 | NPPES |
| Utah | MEDICAID | 005742629 |
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