Self, William John

Self, William John is an sole proprietor health care provider with primary practice located at 6222 S Moffat Farm Ln , Salt Lake City UT 84121-6713. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Self, William John can be contacted via phone (970) 590-3773.

Contact Information

Primary practice address
6222 S Moffat Farm Ln Salt Lake City UT 84121-6713
Phone: (970) 590-3773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 9475918-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9475918-4405 Utah

Profile Details

NPI number 1346721891
LBN Legal business name Self, William John
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2018
Last updated Jan 22nd, 2019 - about 5 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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