Beck, Donald Emory

Beck, Donald Emory is an individual health care provider with primary practice located at 44 Medical Dr , Salt Lake City UT 84132-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Beck, Donald Emory can be contacted via phone (801) 584-8246.

Contact Information

Primary practice address
44 Medical Dr Salt Lake City UT 84132-0001
Fax: (801) 584-8242
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 116907-2501 Utah

Profile Details

NPI number 1174625016
LBN Legal business name Beck, Donald Emory
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174625016 NPPES
Utah MEDICAID 999000021002

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