Dickerson, Jason Brent
Dickerson, Jason Brent is an sole proprietor health care provider with primary practice located at 6360 S 3000 E Ste 210, Salt Lake City UT 84121-6972. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dickerson, Jason Brent can be contacted via phone (801) 265-0600.Contact Information
Primary practice address
6360 S 3000 E Ste 210
Salt Lake City UT 84121-6972
Phone: (801) 265-0600
Fax: (801) 265-8600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 4830364-0501 | Utah |
Profile Details
| NPI number | 1528039377 |
|---|---|
| LBN Legal business name | Dickerson, Jason Brent |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Dec 6th, 2017 - about 8 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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