Van Der Veur, Frederick
Van Der Veur, Frederick is an individual health care provider with primary practice located at 1020 South Main Street 242, Salt Lake City UT 84101. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Der Veur, Frederick can be contacted via phone (801) 539-7093.Contact Information
Primary practice address
1020 South Main Street 242
Salt Lake City UT 84101
Phone: (801) 539-7093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1163593501 | Utah |
Profile Details
| NPI number | 1780655407 |
|---|---|
| LBN Legal business name | Van Der Veur, Frederick |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Aug 2nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780655407 | NPPES |
| Utah | MEDICAID | 1780655407 | |
| Utah | Other | 11635935003001 | |
| Utah | Other | 1163593501 | |
| Utah | Other | P00204131 |
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