Jennings, Michael S

Jennings, Michael S is an sole proprietor health care provider with primary practice located at 4525 Wasatch Blvd Ste 310, Salt Lake City UT 84124-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jennings, Michael S can be contacted via phone (801) 998-8492.

Contact Information

Primary practice address
4525 Wasatch Blvd Ste 310 Salt Lake City UT 84124-4700
Phone: (801) 998-8492
Fax: (801) 998-8489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2637851205 Utah

Profile Details

NPI number 1811962772
LBN Legal business name Jennings, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Dec 27th, 2009 - about 15 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 1811962772 NPPES
Utah MEDICAID 870573947004

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