Crookston, Megan Ellice

Crookston, Megan Ellice is an individual health care provider with primary practice located at 3556 W 9800 S Ste 101 , South Jordan UT 84095-3221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Crookston, Megan Ellice can be contacted via phone (801) 567-9780.

Contact Information

Primary practice address
3556 W 9800 S Ste 101 South Jordan UT 84095-3221
Phone: (801) 567-9780
Fax: (801) 567-9826
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9551758-1206 Utah

Profile Details

NPI number 1659773216
LBN Legal business name Crookston, Megan Ellice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2014
Last updated Apr 29th, 2022 - 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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