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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285605204 NPPES
Utah Other 32872635000001 BLUE CROSS

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