Cruze, Stephen
Cruze, Stephen is an individual health care provider with primary practice located at 1055 N 500 W Suite 121, Provo UT 84604-3305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Cruze, Stephen can be contacted via phone (801) 373-7350.Contact Information
Primary practice address
1055 N 500 W Suite 121
Provo UT 84604-3305
Phone: (801) 373-7350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 7398126-1206 | Utah |
Profile Details
| NPI number | 1730318445 |
|---|---|
| LBN Legal business name | Cruze, Stephen |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | Jul 2nd, 2009 - about 16 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 | 1730318445 | NPPES |
| Utah | Other | 7398126-1206 | STATE LICENSE |
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