Crisp, Ethan

Crisp, Ethan is an sole proprietor health care provider with primary practice located at 757 S Main St , Springville UT 84663-2452. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Crisp, Ethan can be contacted via phone (801) 491-2270.

Contact Information

Primary practice address
757 S Main St Springville UT 84663-2452
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1821510512
LBN Legal business name Crisp, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2017
Last updated Jul 21st, 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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