Forbes, Jennifer Lynn

Forbes, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 934 S Main St , Layton UT 84041-7135. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Forbes, Jennifer Lynn can be contacted via phone (801) 773-7060.

Contact Information

Primary practice address
934 S Main St Layton UT 84041-7135
Phone: (801) 773-7060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5094581-3501 Utah

Profile Details

NPI number 1013120401
LBN Legal business name Forbes, Jennifer Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Feb 28th, 2022 - about 2 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 1013120401 NPPES
Utah MEDICAID 876000308007
Utah Other 260022408

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