Faust, Damon Monson
Faust, Damon Monson is an sole proprietor health care provider with primary practice located at 1675 N Freedom Blvd 7A, Provo UT 84604-2540. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Faust, Damon Monson can be contacted via phone (801) 489-1075.Contact Information
Primary practice address
1675 N Freedom Blvd 7A
Provo UT 84604-2540
Phone: (801) 489-1075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1761501202 | Utah |
Profile Details
| NPI number | 1265452163 |
|---|---|
| LBN Legal business name | Faust, Damon Monson |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Aug 20th, 2007 - about 17 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 | 1265452163 | NPPES |
| Utah | MEDICAID | 870395551005 |
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