Kwan, Fan Lee

Kwan, Fan Lee is an sole proprietor health care provider with primary practice located at 7434 S State St , Midvale UT 84047-2014. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kwan, Fan Lee can be contacted via phone (801) 566-4423.

Contact Information

Primary practice address
7434 S State St Midvale UT 84047-2014
Phone: (801) 566-4423
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 369290-3501 Utah

Profile Details

NPI number 1992775415
LBN Legal business name Kwan, Fan Lee
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Aug 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992775415 NPPES
Utah Other 107018309101 U006
Utah Other Q10178 U006
Utah Other 942938348KW1 U006
Utah Other 802652 U006

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