Gillen, Lamar J
Gillen, Lamar J is an sole proprietor health care provider with primary practice located at 50 N Main St , Tooele UT 84074-2139. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gillen, Lamar J can be contacted via phone (801) 634-8727.Contact Information
Primary practice address
50 N Main St
Tooele UT 84074-2139
Phone: (801) 634-8727
Fax: (801) 733-4083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 330366-6004 | Utah |
Profile Details
| NPI number | 1902963887 |
|---|---|
| LBN Legal business name | Gillen, Lamar J |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1902963887 | NPPES |
| Utah | Other | 330366-6044 | LICENSE |
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