Thomas, Douglas Paul

Thomas, Douglas Paul is an individual health care provider with primary practice located at 100 S 1000 W , Tooele UT 84074-4010. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thomas, Douglas Paul can be contacted via phone (435) 843-3520.

Contact Information

Primary practice address
100 S 1000 W Tooele UT 84074-4010
Fax: (435) 843-3555
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 292975-3501 Utah

Profile Details

NPI number 1356327084
LBN Legal business name Thomas, Douglas Paul
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 18 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 1356327084 NPPES
Other 751648 DESERET MUTUAL
Other 94293848015 DESERET MUTUAL
Other 107012410101 DESERET MUTUAL
Other 29297535000001 DESERET MUTUAL

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