Andersen, Jay P
Andersen, Jay P is an sole proprietor health care provider with primary practice located at 380 E 1500 S , Heber City UT 84032-3940. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Andersen, Jay P can be contacted via phone (435) 654-5607.Contact Information
Primary practice address
380 E 1500 S
Heber City UT 84032-3940
Phone: (435) 654-5607
Fax: (435) 654-2602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 53405374201 | Utah |
Profile Details
| NPI number | 1396751210 |
|---|---|
| LBN Legal business name | Andersen, Jay P |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396751210 | NPPES |
| Utah | Other | 107030670103 | IHC SELECT HEALTH |
| Utah | MEDICAID | D5302 | IHC SELECT HEALTH |
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