Daniels, Jonathan Pearson

Daniels, Jonathan Pearson is an individual health care provider with primary practice located at 82 S 1100 E Ste 305 , Salt Lake City UT 84102-4703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Daniels, Jonathan Pearson can be contacted via phone (801) 214-7650.

Contact Information

Primary practice address
82 S 1100 E Ste 305 Salt Lake City UT 84102-4703
Fax: (801) 214-7650
Website:

Profile Details

NPI number 1043214935
LBN Legal business name Daniels, Jonathan Pearson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jun 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043214935 NPPES
Kansas MEDICAID 100398640B

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