Boettger, Jill Hodgett

Boettger, Jill Hodgett is an individual health care provider with primary practice located at 44 N Medical Dr , Salt Lake City UT 84113-1105. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Boettger, Jill Hodgett can be contacted via phone (801) 584-8215.

Contact Information

Primary practice address
44 N Medical Dr Salt Lake City UT 84113-1105
Phone: (801) 584-8215
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1095929937 Utah
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1095929937 Utah

Profile Details

NPI number 1902918204
LBN Legal business name Boettger, Jill Hodgett
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902918204 NPPES
Utah MEDICAID 999000021002

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