Eatough, Jason

Eatough, Jason is an individual health care provider with primary practice located at 331 N 400 W , Orem UT 84057-1913. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Eatough, Jason can be contacted via phone (801) 714-3200.

Contact Information

Primary practice address
331 N 400 W Orem UT 84057-1913
Phone: (801) 714-3200
Fax: (801) 714-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA509 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 319284-1206 Utah

Profile Details

NPI number 1205874179
LBN Legal business name Eatough, Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Sep 22nd, 2023 - about last year

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 1205874179 NPPES
Idaho MEDICAID 806997400

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