Kowalski, Jedediah Douglas
Kowalski, Jedediah Douglas is an sole proprietor health care provider with primary practice located at 5126 W Daybreak Pkwy , South Jordan UT 84009-5994. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kowalski, Jedediah Douglas can be contacted via phone (801) 656-7647.Contact Information
Primary practice address
5126 W Daybreak Pkwy
South Jordan UT 84009-5994
Phone: (801) 656-7647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7964951-4405 | Utah |
Profile Details
| NPI number | 1366963928 |
|---|---|
| LBN Legal business name | Kowalski, Jedediah Douglas |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2017 |
| Last updated | Nov 17th, 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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