Johnson, Jason Lynn
Johnson, Jason Lynn is an individual health care provider with primary practice located at 1140 E 3900 S Ste 400, Salt Lake City UT 84124-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Johnson, Jason Lynn can be contacted via phone (801) 268-6811.Contact Information
Primary practice address
1140 E 3900 S Ste 400
Salt Lake City UT 84124-1228
Phone: (801) 268-6811
Fax: (801) 268-8673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 95295445-1205 | Utah |
Profile Details
| NPI number | 1376638718 |
|---|---|
| LBN Legal business name | Johnson, Jason Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376638718 | NPPES |
| Utah | Other | 46D0704114 | CLIA # |
| Utah | Other | 87-0280366 | CLIA # |
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