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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 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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