Brundage, Gary Earl
Brundage, Gary Earl is an individual health care provider with primary practice located at 5640 S 3500 W , Roy UT 84067-9158. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brundage, Gary Earl can be contacted via phone (017) 732-8388.Contact Information
Primary practice address
5640 S 3500 W
Roy UT 84067-9158
Phone: (017) 732-8388
Fax: (801) 773-3025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7435-C | Nevada |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8666499-3501 | Utah |
Profile Details
| NPI number | 1861707036 |
|---|---|
| LBN Legal business name | Brundage, Gary Earl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2010 |
| Last updated | Jul 29th, 2022 - about 2 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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