Dervisevic, Amira
Dervisevic, Amira is an sole proprietor health care provider with primary practice located at 501 S Chipeta Way , Salt Lake City UT 84108-1222. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dervisevic, Amira can be contacted via phone (801) 587-3270.Contact Information
Primary practice address
501 S Chipeta Way
Salt Lake City UT 84108-1222
Phone: (801) 587-3270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 7800211-3102 | Utah |
Profile Details
| NPI number | 1881360295 |
|---|---|
| LBN Legal business name | Dervisevic, Amira |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2021 |
| Last updated | Dec 20th, 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.
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