National Provider Identifier Database

WHITE TREE MEDICAL CONSULTANTS LLC
Addiction Medicine

Contact Information

WHITE TREE MEDICAL CONSULTANTS LLC
10437 S JORDAN GTWY
SOUTH JORDAN, UT  84095
Phone: 801-877-0705
Fax: 801-335-5957
Website:
Specialty Taxonomy Code
* Addiction Medicine 207QA0401X
Addiction (Substance Use Disorder) 101YA0400X
Addiction (Substance Use Disorder) 163WA0400X
Family Medicine 207Q00000X
Intermediate Care, Mental Illness 310500000X
Rehabilitation, Substance Use Disorder 261QR0405X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for WHITE TREE MEDICAL CONSULTANTS LLC

NPI Number 1497204903
Legal business name
LBN		 WHITE TREE MEDICAL CONSULTANTS LLC
Authorized official CL CANFIELD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/26/2016
Last updated 08/27/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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