Moulton, Byron J
Moulton, Byron J is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Moulton, Byron J can be contacted via phone (801) 373-7850.Contact Information
Primary practice address
1034 N 500 W
Provo UT 84604-3380
Phone: (801) 373-7850
Fax: (801) 357-7997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 57266144101 | Utah |
Profile Details
| NPI number | 1386667293 |
|---|---|
| LBN Legal business name | Moulton, Byron J |
| Credentials | AUDIOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 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 | 1386667293 | NPPES |
| Utah | Other | 57266144101 | UTAH STATE LICENSE |
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