Ibarra, Jade M

Ibarra, Jade M is an sole proprietor health care provider with primary practice located at 2472 S 300 E , South Salt Lake UT 84115-2895. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Ibarra, Jade M can be contacted via phone (801) 466-2211.

Contact Information

Primary practice address
2472 S 300 E South Salt Lake UT 84115-2895
Phone: (801) 466-2211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 13341839-4003 Utah

Profile Details

NPI number 1801653068
LBN Legal business name Ibarra, Jade M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2024
Last updated Mar 4th, 2024 - about 8 months 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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