Boman, Michael Ted
Boman, Michael Ted is an individual health care provider with primary practice located at 3564 S 7200 W , Magna UT 84044-3507. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boman, Michael Ted can be contacted via phone (801) 250-2909.Contact Information
Primary practice address
3564 S 7200 W
Magna UT 84044-3507
Phone: (801) 250-2909
Fax: (801) 252-0444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 373112-3501 | Utah |
Profile Details
| NPI number | 1508828930 |
|---|---|
| LBN Legal business name | Boman, Michael Ted |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 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.
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