Broadhead, Jeffrey L
Broadhead, Jeffrey L is an sole proprietor health care provider with primary practice located at 3556 W 9800 S Suite 104, South Jordan UT 84095-3211. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Broadhead, Jeffrey L can be contacted via phone (801) 253-6590.Contact Information
Primary practice address
3556 W 9800 S Suite 104
South Jordan UT 84095-3211
Phone: (801) 253-6590
Fax: (801) 253-6591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4826018-9934 | Utah |
Profile Details
| NPI number | 1306829569 |
|---|---|
| LBN Legal business name | Broadhead, Jeffrey L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jun 23rd, 2015 - about 9 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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