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Contact Information

ADAM S BOMAN
90 E 200 N
LOGAN, UT84321-4034
 Phone: 435-752-0750
 Fax: 435-752-7433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ADAM S BOMAN · (Male)

NPI Number 1205137916
Status Active
Credentials
Entity Individual
Enumeration date 11/11/2010
Last updated 11/11/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • UT Medicaid 1026
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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