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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205414117 NPPES
Utah Other 802003707 SELECT HEALTH

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