Faavaoga, Simon
Faavaoga, Simon is an sole proprietor health care provider with primary practice located at 179 W Winchester St , Murray UT 84107-7237. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Faavaoga, Simon can be contacted via phone (801) 904-3826.Contact Information
Primary practice address
179 W Winchester St
Murray UT 84107-7237
Phone: (801) 904-3826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1821637232 |
|---|---|
| LBN Legal business name | Faavaoga, Simon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2020 |
| Last updated | Oct 5th, 2020 - 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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