Bennett, Jason A.
Bennett, Jason A. is an individual health care provider with primary practice located at 15 N Medical Dr Ste 1100 , Salt Lake City UT 84112-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bennett, Jason A. can be contacted via phone (801) 581-2121.Contact Information
Primary practice address
15 N Medical Dr Ste 1100
Salt Lake City UT 84112-1100
Phone: (801) 581-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD429260 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD.205664 | Louisiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 21356 | West Virginia |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME154997 | Florida |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 13423479-1205 | Utah |
Profile Details
| NPI number | 1386755809 |
|---|---|
| LBN Legal business name | Bennett, Jason A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386755809 | NPPES |
| Pennsylvania | MEDICAID | 1017445660001 | |
| Pennsylvania | Other | 156840 | |
| Pennsylvania | MEDICAID | 03223248 | |
| Pennsylvania | MEDICAID | 114105000 | |
| Pennsylvania | Other | 7905789 | |
| Pennsylvania | MEDICAID | 2304313 | |
| Pennsylvania | Other | 000000493642 | |
| Pennsylvania | Other | 1904630 | |
| Pennsylvania | Other | 1393196 | |
| Pennsylvania | MEDICAID | 2698906 | |
| Pennsylvania | Other | 77644605 |
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