Judd, Deborah Marie
Judd, Deborah Marie is an individual health care provider with primary practice located at 2540 Washington Blvd #122, Ogden UT 84401-3122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Judd, Deborah Marie can be contacted via phone (801) 626-3670.Contact Information
Primary practice address
2540 Washington Blvd #122
Ogden UT 84401-3122
Phone: (801) 626-3670
Fax: (801) 626-3646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5661576-4405 | Utah |
Profile Details
| NPI number | 1790754760 |
|---|---|
| LBN Legal business name | Judd, Deborah Marie |
| Credentials | FNPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1790754760 | NPPES |
| Utah | MEDICAID | D5964 |
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