Speziale, Greg

Speziale, Greg is an individual health care provider with primary practice located at 36 Racquet Club Dr , Park City UT 84060. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Speziale, Greg can be contacted via phone (801) 425-8767.

Contact Information

Primary practice address
36 Racquet Club Dr Park City UT 84060
Phone: (801) 425-8767
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 1478 Utah

Profile Details

NPI number 1043966591
LBN Legal business name Speziale, Greg
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2022
Last updated Feb 23rd, 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 1043966591 NPPES
Utah Other 1478 STATE OF UTAH CERTIFIED PEER SUPPORT SPECIALIST

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