Gorelik, Robert S

Gorelik, Robert S is an individual health care provider with primary practice located at 8834 Gorgoza Dr , Park City UT 84098-4734. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gorelik, Robert S can be contacted via phone (435) 645-9336.

Contact Information

Primary practice address
8834 Gorgoza Dr Park City UT 84098-4734
Phone: (435) 645-9336
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1373693501 Utah

Profile Details

NPI number 1548345408
LBN Legal business name Gorelik, Robert S
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Apr 23rd, 2008 - about 16 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 1548345408 NPPES
Utah Other 292735 DESERET MUTUAL INSURANCE
Utah Other 942938348GO1 DESERET MUTUAL INSURANCE
Utah Other 107000923101 DESERET MUTUAL INSURANCE

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