Pace, Brent Carman
Pace, Brent Carman is an individual health care provider with primary practice located at 1164 E 1St Ave , Salt Lake City UT 84103-4108. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pace, Brent Carman can be contacted via phone (801) 599-6279.Contact Information
Primary practice address
1164 E 1St Ave
Salt Lake City UT 84103-4108
Phone: (801) 599-6279
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3287263501 | Utah |
Profile Details
| NPI number | 1285605204 |
|---|---|
| LBN Legal business name | Pace, Brent Carman |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Dec 8th, 2022 - about 2 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 | 1285605204 | NPPES |
| Utah | Other | 32872635000001 | BLUE CROSS |
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