Luckart, Shannon
Luckart, Shannon is an individual health care provider with primary practice located at 2500 S State St , South Salt Lake UT 84115-3164. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Luckart, Shannon 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 / Social Worker | 104100000X | 4892361-3502 | Utah |
Profile Details
| NPI number | 1831836493 |
|---|---|
| LBN Legal business name | Luckart, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2022 |
| Last updated | May 16th, 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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