Botha, Jean F

Botha, Jean F is an individual health care provider with primary practice located at 5171 S Cottonwood St Ste 210 , Murray UT 84107-5718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Botha, Jean F can be contacted via phone (801) 507-3380.

Contact Information

Primary practice address
5171 S Cottonwood St Ste 210 Murray UT 84107-5718
Phone: (801) 507-3380
Fax: (385) 297-2048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 22313 Nebraska
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 12742339-1205 Utah

Profile Details

NPI number 1982661344
LBN Legal business name Botha, Jean F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 28th, 2022 - about 3 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 1982661344 NPPES
Nebraska MEDICAID 47078557580

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