Malmberg, Jan Marie
Malmberg, Jan Marie is an individual health care provider with primary practice located at 4214 S 500 W , Salt Lake City UT 84123-1336. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Malmberg, Jan Marie can be contacted via phone (801) 859-3523.Contact Information
Primary practice address
4214 S 500 W
Salt Lake City UT 84123-1336
Phone: (801) 859-3523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4905206-6004 | Utah |
Profile Details
| NPI number | 1225193998 |
|---|---|
| LBN Legal business name | Malmberg, Jan Marie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225193998 | NPPES |
| Utah | Other | 11627987 | CAQH |
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