Hong, Jerry G

Hong, Jerry G is an individual health care provider with primary practice located at 3451 S 5600 W #F, Salt Lake City UT 84120-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Hong, Jerry G can be contacted via phone (801) 957-0900.

Contact Information

Primary practice address
3451 S 5600 W #F Salt Lake City UT 84120-1301
Phone: (801) 957-0900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 113884-2401 Utah

Profile Details

NPI number 1255397287
LBN Legal business name Hong, Jerry G
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255397287 NPPES
Utah MEDICAID 870639098001

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