Jolley, Benjamin Dean

Jolley, Benjamin Dean is an sole proprietor health care provider with primary practice located at 1702 S 1100 E , Salt Lake City UT 84105-3424. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Nursing Service Providers / Diabetes Educator. Pharmacy Service Providers / Ambulatory Care is his primary health care specialty. Jolley, Benjamin Dean can be contacted via phone (801) 484-4393.

Contact Information

Primary practice address
1702 S 1100 E Salt Lake City UT 84105-3424
Phone: (801) 484-4393
Fax: (801) 484-8677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 7050817-1701 Utah
Nursing Service Providers / Diabetes Educator 163WD0400X 7050817-1701 Utah

Profile Details

NPI number 1831703198
LBN Legal business name Jolley, Benjamin Dean
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2020
Last updated Apr 23rd, 2021 - about 4 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 1831703198 NPPES
Utah Other 7050817-1701 STATE PHARMACIST LICENSE

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