Hurst, Shane Flannery

Hurst, Shane Flannery is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Hurst, Shane Flannery can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 6586446-3904 Utah

Profile Details

NPI number 1821282419
LBN Legal business name Hurst, Shane Flannery
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2007
Last updated Aug 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821282419 NPPES
Utah MEDICAID 876000308007

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