Dettamanti, Joshua

Dettamanti, Joshua is an individual health care provider with primary practice located at 6484 N 2300 W , Cedar City UT 84721-7102. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Dettamanti, Joshua can be contacted via phone (435) 867-4876.

Contact Information

Primary practice address
6484 N 2300 W Cedar City UT 84721-7102
Phone: (435) 867-4876
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1518208099
LBN Legal business name Dettamanti, Joshua
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2013
Last updated Mar 8th, 2013 - about 11 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 1518208099 NPPES
Utah MEDICAID 123455

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