Mahoney, Thomas M

Mahoney, Thomas M is an individual health care provider with primary practice located at 44 N Medical Dr , Salt Lake City UT 84113-1105. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Mahoney, Thomas M can be contacted via phone (801) 584-8215.

Contact Information

Primary practice address
44 N Medical Dr Salt Lake City UT 84113-1105
Phone: (801) 584-8215
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 100926-9937 Utah

Profile Details

NPI number 1659400604
LBN Legal business name Mahoney, Thomas M
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 9th, 2007 - about 18 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 1659400604 NPPES
Utah MEDICAID 999000021033

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