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
Fax: (801) 268-8673
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376638718 NPPES
Utah Other 46D0704114 CLIA #
Utah Other 87-0280366 CLIA #

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