Harris, Tyson
Harris, Tyson is an individual health care provider with primary practice located at 2500 S State St , South Salt Lake UT 84115-3164. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Harris, Tyson can be contacted via phone (385) 646-5000.Contact Information
Primary practice address
2500 S State St
South Salt Lake UT 84115-3164
Phone: (385) 646-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | 9858818-3501 | Utah |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1285033464 |
---|---|
LBN Legal business name | Harris, Tyson |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2014 |
Last updated | May 24th, 2022 - about 2 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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