Harman, Jeremy Russel

Harman, Jeremy Russel is an individual health care provider with primary practice located at 324 E 10Th Ave Suite 100, Salt Lake City UT 84103-2853. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harman, Jeremy Russel can be contacted via phone (801) 408-7660.

Contact Information

Primary practice address
324 E 10Th Ave Suite 100 Salt Lake City UT 84103-2853
Phone: (801) 408-7660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7095823-1206 Utah

Profile Details

NPI number 1619967387
LBN Legal business name Harman, Jeremy Russel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jan 28th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619967387 NPPES
Arizona MEDICAID 830712

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