Matheson, Kristin
Matheson, Kristin is an individual 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 / Behavior Technician, which is considered as her primary health care specialty. Matheson, Kristin can be contacted via phone (801) 456-9955.Contact Information
Primary practice address
7434 S State St
Midvale UT 84047-2014
Phone: (801) 456-9955
Fax: (801) 456-9554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1053085498 |
|---|---|
| LBN Legal business name | Matheson, Kristin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2021 |
| Last updated | Aug 8th, 2021 - about 4 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 | 1053085498 | NPPES |
| Utah | MEDICAID | 106S00000X |
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