Hejazi, Jamal S
Hejazi, Jamal S is an individual health care provider with primary practice located at 1141 E 3900 S , Salt Lake City UT 84124-1250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Hejazi, Jamal S can be contacted via phone (801) 284-4990.Contact Information
Primary practice address
1141 E 3900 S
Salt Lake City UT 84124-1250
Phone: (801) 284-4990
Fax: (801) 284-4991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 992637831205 | Utah |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 7608 | Nevada |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A49714 | California |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 992637831205 | Utah |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 7608 | Nevada |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A49714 | California |
Profile Details
| NPI number | 1558332437 |
|---|---|
| LBN Legal business name | Hejazi, Jamal S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Aug 8th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558332437 | NPPES |
| Utah | Other | 942938348HE2 | EDUCATORS MUTUAL |
| Utah | Other | 107007645101 | EDUCATORS MUTUAL |
| Utah | Other | 263060 | EDUCATORS MUTUAL |
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