Henricksen, Jared W
Henricksen, Jared W is an individual health care provider with primary practice located at 100 Mario Capecchi Dr , Slc UT 84113-1103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Henricksen, Jared W can be contacted via phone (801) 662-1000.Contact Information
Primary practice address
100 Mario Capecchi Dr
Slc UT 84113-1103
Phone: (801) 662-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 347933-1205 | Utah |
Profile Details
| NPI number | 1396762480 |
|---|---|
| LBN Legal business name | Henricksen, Jared W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Apr 25th, 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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