Chidester, Jeremy Robert
Chidester, Jeremy Robert is an individual health care provider with primary practice located at 1309 W South Jordan Pkwy Ste 110 , South Jordan UT 84095-9014. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Chidester, Jeremy Robert can be contacted via phone (801) 839-5557.Contact Information
Primary practice address
1309 W South Jordan Pkwy Ste 110
South Jordan UT 84095-9014
Phone: (801) 839-5557
Fax: (801) 770-4455
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 10668647-1205 | Utah |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 10668647-1205 | Utah |
Profile Details
NPI number | 1194015693 |
---|---|
LBN Legal business name | Chidester, Jeremy Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2011 |
Last updated | May 12th, 2023 - about 2 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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