Chandler, Jason G
Chandler, Jason G is an sole proprietor health care provider with primary practice located at 2297 No. Hillfield Rd Ste. A105, Layton UT 84041. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Chandler, Jason G can be contacted via phone (801) 779-0506.Contact Information
Primary practice address
2297 No. Hillfield Rd Ste. A105
Layton UT 84041
Phone: (801) 779-0506
Fax: (801) 779-4344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7263018-9924 | Utah |
Profile Details
| NPI number | 1114134004 |
|---|---|
| LBN Legal business name | Chandler, Jason G |
| Credentials | D.M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Jan 5th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114134004 | NPPES |
| Utah | MEDICAID | 1114134004 |
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