Dejohn, Terri A.
Dejohn, Terri A. is an individual health care provider with primary practice located at 540 Arapeen Dr , Salt Lake City UT 84108-1250. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Dejohn, Terri A. can be contacted via phone (801) 582-4268.Contact Information
Primary practice address
540 Arapeen Dr
Salt Lake City UT 84108-1250
Phone: (801) 582-4268
Fax: (801) 582-4269
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 164427-1205 | Utah |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | 164427-1205 | Utah |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 164427-1205 | Utah |
Profile Details
NPI number | 1598734386 |
---|---|
LBN Legal business name | Dejohn, Terri A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2006 |
Last updated | Apr 21st, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598734386 | NPPES |
Utah | Other | 891 | HEALTHY U MEDICAID |
Utah | Other | MD672UT | HEALTHY U MEDICAID |
Utah | MEDICAID | 06268 | HEALTHY U MEDICAID |
Utah | Other | 105987500 | HEALTHY U MEDICAID |
Utah | Other | P00235891 | HEALTHY U MEDICAID |
Utah | Other | 930091526 | HEALTHY U MEDICAID |
Utah | Other | 238704 | HEALTHY U MEDICAID |
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