William Templeton, BA

Individual provider Active NPI Substance Abuse Rehabilitation Facility · Salt Lke City, UT

NPI 1821544040 · NPPES record last updated Aug 28, 2016

Key facts

NPI
1821544040
Entity type
Individual (NPI type 1)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Practice address
857 E 200 S
Salt Lke City, UT 84102
Phone
(801) 487-3276
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

857 E 200 S
Salt Lke City, UT 84102

Mailing address

550 E. Mansfield Ave
Apt 7
Salt Lake City, UT 84106
Phone (207) 504-0269

Sources for this page

Verify at the official NPI Registry.