Jerome, Zachary M

Jerome, Zachary M is an individual health care provider with primary practice located at 533 W State Rd Ste 103 , Pleasant Grove UT 84062-2114. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Jerome, Zachary M can be contacted via phone (801) 842-7622.

Contact Information

Primary practice address
533 W State Rd Ste 103 Pleasant Grove UT 84062-2114
Phone: (801) 842-7622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1093306904
LBN Legal business name Jerome, Zachary M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2021
Last updated Feb 2nd, 2021 - about 3 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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