Bagley, Jarrod
Bagley, Jarrod is an individual health care provider with primary practice located at 12433 Fort St , Draper UT 84020-9363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bagley, Jarrod can be contacted via phone (801) 576-1086.Contact Information
Primary practice address
12433 Fort St
Draper UT 84020-9363
Phone: (801) 576-1086
Fax: (801) 576-9796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2673844405 | Utah |
Profile Details
| NPI number | 1558345397 |
|---|---|
| LBN Legal business name | Bagley, Jarrod |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jul 8th, 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.
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