Crockett, Jenna
Crockett, Jenna is an sole proprietor health care provider with primary practice located at 375 S Chipeta Way Ste A , Salt Lake City UT 84108-1261. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Crockett, Jenna can be contacted via phone (808) 640-7029.Contact Information
Primary practice address
375 S Chipeta Way Ste A
Salt Lake City UT 84108-1261
Phone: (808) 640-7029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 00000 | Utah |
Profile Details
| NPI number | 1306312202 |
|---|---|
| LBN Legal business name | Crockett, Jenna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2018 |
| Last updated | Oct 17th, 2018 - about 7 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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