Boberg, Laura Lynn
Boberg, Laura Lynn is an individual health care provider with primary practice located at 222 W 540 N , Orem UT 84057-6631. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Boberg, Laura Lynn can be contacted via phone (801) 661-7007.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6855070-6006 | Utah |
Profile Details
| NPI number | 1134723505 |
|---|---|
| LBN Legal business name | Boberg, Laura Lynn |
| Credentials | SUDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2020 |
| Last updated | Nov 25th, 2020 - about 5 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 | 1134723505 | NPPES |
| Other | 14997547 | CAQH |
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