Maryon, Ethan
Maryon, Ethan is an individual health care provider with primary practice located at 1325 N Main St Ste 3 , Bountiful UT 84010-6090. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Maryon, Ethan can be contacted via phone (801) 380-3087.Contact Information
Primary practice address
1325 N Main St Ste 3
Bountiful UT 84010-6090
Phone: (801) 380-3087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 10382606-3502 | Utah |
Profile Details
| NPI number | 1720533664 |
|---|---|
| LBN Legal business name | Maryon, Ethan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2016 |
| Last updated | Mar 20th, 2018 - about 6 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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