Allen, Gerald Eldridge Kawika
Allen, Gerald Eldridge Kawika is an individual health care provider with primary practice located at 8184 Highland Dr , Sandy UT 84093-6477. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Allen, Gerald Eldridge Kawika can be contacted via phone (801) 944-1666.Contact Information
Primary practice address
8184 Highland Dr
Sandy UT 84093-6477
Phone: (801) 944-1666
Fax: (801) 944-1698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5055381-6009 | Utah |
Profile Details
| NPI number | 1740242577 |
|---|---|
| LBN Legal business name | Allen, Gerald Eldridge Kawika |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1740242577 | NPPES |
| Utah | MEDICAID | 000000000000 |
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