National Provider Identifier Database

SUNSHINE TERRANCE
Rehabilitation


Contact Information

SUNSHINE TERRANCE
209 W 300 N
LOGAN, UT84321-3809
Phone: 435-716-8535
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X
Community Health 261QC1500X
Multi-Specialty 261QM1300X
Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for SUNSHINE TERRANCE

NPI Number 1417347113
Legal business name
LBN
SUNSHINE TERRANCE
Authorized official BROCK CHRISTENSEN - (OCCUPATIONAL THERAPIST)
Entity Organization
Organization subpart No
Enumeration date 02/02/2015
Last updated 02/02/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 92879094201
  • UT Medicaid: 9287909-4201
  • UT Medicaid: 92879094201

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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