Walter, Samuel Grey

Walter, Samuel Grey is an individual health care provider with primary practice located at 7766 Buckboard Dr , Park City UT 84098-5315. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Walter, Samuel Grey can be contacted via phone (801) 879-1444.

Contact Information

Primary practice address
7766 Buckboard Dr Park City UT 84098-5315
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1730468455
LBN Legal business name Walter, Samuel Grey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2011
Last updated May 1st, 2023 - about last year

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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