Badura, Dominique

Badura, Dominique is an individual health care provider with primary practice located at 1726 Buckley Drive , Provo UT 84606. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / School is her primary health care specialty. Badura, Dominique can be contacted via phone (801) 373-6562.

Contact Information

Primary practice address
1726 Buckley Drive Provo UT 84606
Phone: (801) 373-6562
Fax: (801) 375-9225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1952850018
LBN Legal business name Badura, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2016
Last updated Jan 24th, 2017 - about 7 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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