Wiseman, Larry C
Wiseman, Larry C is an individual health care provider with primary practice located at 1738 W 12600 S , Riverton UT 84065-7025. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wiseman, Larry C can be contacted via phone (801) 243-7346.Contact Information
Primary practice address
1738 W 12600 S
Riverton UT 84065-7025
Phone: (801) 243-7346
Fax: (801) 446-0909
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Utah |
Profile Details
NPI number | 1821018052 |
---|---|
LBN Legal business name | Wiseman, Larry C |
Credentials | Athletic Trainer, Certified (ATC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821018052 | NPPES |
Utah | Other | 22 | ATHLETIC TRAINER |
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