Johnson, Matthew Truman

Johnson, Matthew Truman is an sole proprietor health care provider with primary practice located at 2860 E 19500 N , Moroni UT 84646. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Johnson, Matthew Truman can be contacted via phone (435) 436-9029.

Contact Information

Primary practice address
2860 E 19500 N Moroni UT 84646
Phone: (435) 436-9029
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Utah

Profile Details

NPI number 1932534260
LBN Legal business name Johnson, Matthew Truman
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2013
Last updated Sep 5th, 2013 - about 11 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 1932534260 NPPES
Utah MEDICAID 1235458555

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