Van Rum, Travis Corey

Van Rum, Travis Corey is an sole proprietor health care provider with primary practice located at 130 W Main St , Lehi UT 84043-2100. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Rum, Travis Corey can be contacted via phone (801) 891-6489.

Contact Information

Primary practice address
130 W Main St Lehi UT 84043-2100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7722193-3502 Utah

Profile Details

NPI number 1043511827
LBN Legal business name Van Rum, Travis Corey
Credentials Certified Social Worker (CSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2010
Last updated Nov 9th, 2010 - about 14 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 1043511827 NPPES
Utah MEDICAID 1770721300

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