Fonua, Jackie Anne
Fonua, Jackie Anne is an individual health care provider with primary practice located at 3354 W 7800 S , West Jordan UT 84088-4506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fonua, Jackie Anne can be contacted via phone (801) 282-2677.Contact Information
Primary practice address
3354 W 7800 S
West Jordan UT 84088-4506
Phone: (801) 282-2677
Fax: (801) 282-2050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 175335-1206 | Utah |
Profile Details
| NPI number | 1336227206 |
|---|---|
| LBN Legal business name | Fonua, Jackie Anne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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