Thibodeau, Mary
Thibodeau, Mary is an individual health care provider with primary practice located at 344 E 100 S Ste 301, Salt Lake City UT 84111-1700. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Thibodeau, Mary can be contacted via phone (801) 322-4257.Contact Information
Primary practice address
344 E 100 S Ste 301
Salt Lake City UT 84111-1700
Phone: (801) 322-4257
Fax: (801) 478-2686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1407301633 |
|---|---|
| LBN Legal business name | Thibodeau, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2016 |
| Last updated | Aug 17th, 2016 - about 9 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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