Andrus, Marlin V
Andrus, Marlin V is an sole proprietor health care provider with primary practice located at 1196 W South Jordan Pkwy Ste A3 , South Jordan UT 84095-4604. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Andrus, Marlin V can be contacted via phone (801) 253-3169.Contact Information
Primary practice address
1196 W South Jordan Pkwy Ste A3
South Jordan UT 84095-4604
Phone: (801) 253-3169
Fax: (801) 446-4499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 133426-3501 | Utah |
Profile Details
| NPI number | 1215085691 |
|---|---|
| LBN Legal business name | Andrus, Marlin V |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1215085691 | NPPES |
| Utah | Other | 1334263501 | STATE PROFESSIONAL LICENS |
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