Faucette, Donavan Daniel
Faucette, Donavan Daniel is an individual health care provider with primary practice located at 90 E 200 N , Logan UT 84321-4034. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Faucette, Donavan Daniel can be contacted via phone (435) 752-0750.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6729778-3501 | Utah |
Profile Details
| NPI number | 1518185768 |
|---|---|
| LBN Legal business name | Faucette, Donavan Daniel |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Aug 25th, 2009 - about 15 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 | 1518185768 | NPPES |
| Utah | MEDICAID | 876000308007 |
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