Gough, Justin Dean
Gough, Justin Dean is an sole proprietor health care provider with primary practice located at 2904 Midwest Dr , Taylorsville UT 84129-2555. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gough, Justin Dean can be contacted via phone (801) 963-0783.Contact Information
Primary practice address
2904 Midwest Dr
Taylorsville UT 84129-2555
Phone: (801) 963-0783
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 289038-6004 | Utah |
Profile Details
| NPI number | 1578825519 |
|---|---|
| LBN Legal business name | Gough, Justin Dean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2012 |
| Last updated | Jun 14th, 2012 - about 13 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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