Aida, Jared Takeshi

Aida, Jared Takeshi is an individual health care provider with primary practice located at 1160 E 3900 S Ste 4050 , Salt Lake City UT 84124-1264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Aida, Jared Takeshi can be contacted via phone (801) 262-8486.

Contact Information

Primary practice address
1160 E 3900 S Ste 4050 Salt Lake City UT 84124-1264
Phone: (801) 262-8486
Fax: (801) 284-8699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 123456-1205 Utah
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 123456-1205 Utah

Profile Details

NPI number 1497168272
LBN Legal business name Aida, Jared Takeshi
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2014
Last updated Aug 24th, 2023 - about last year

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 1497168272 NPPES
Utah Other 12573316-1204 LICENSE

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