Cunningham, Braden
Cunningham, Braden is an individual health care provider with primary practice located at 500 Foothill Rive , Salt Lake City UT 84148-0001. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Histology, Eye and Vision Services Providers / Technician/Technologist. Eye and Vision Services Providers / Technician/Technologist is his primary health care specialty. Cunningham, Braden can be contacted via phone (801) 582-1565.Contact Information
Primary practice address
500 Foothill Rive
Salt Lake City UT 84148-0001
Phone: (801) 582-1565
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Histology | 246RH0600X | ||
Eye and Vision Services Providers / Technician/Technologist | 156F00000X |
Profile Details
NPI number | 1205414117 |
---|---|
LBN Legal business name | Cunningham, Braden |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2021 |
Last updated | Mar 31st, 2021 - about 4 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 | 1205414117 | NPPES |
Utah | Other | 802003707 | SELECT HEALTH |
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