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
Fax: (801) 446-0909
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821018052 NPPES
Utah Other 22 ATHLETIC TRAINER

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