Ben-Jacob, Ali

Ben-Jacob, Ali is an individual health care provider with primary practice located at 1281 North 600 East , Logan UT 84341-2443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ben-Jacob, Ali can be contacted via phone (435) 752-5999.

Contact Information

Primary practice address
1281 North 600 East Logan UT 84341-2443
Fax: (435) 752-5551
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 292373-1205 Utah

Profile Details

NPI number 1083611669
LBN Legal business name Ben-Jacob, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Nov 3rd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083611669 NPPES
Utah Other 1083611669 NATIONAL PROVIDER IDENTIFIER

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