Church, Jeremiah V

Church, Jeremiah V is an sole proprietor health care provider with primary practice located at 875 Country Hills Dr , Ogden UT 84403-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Church, Jeremiah V can be contacted via phone (801) 399-1149.

Contact Information

Primary practice address
875 Country Hills Dr Ogden UT 84403-2200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 5596291-9934 Utah
Eye and Vision Services Providers / Optometrist 152W00000X 5596291-9934 Utah

Profile Details

NPI number 1083962245
LBN Legal business name Church, Jeremiah V
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2012
Last updated May 19th, 2021 - 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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