Littledike, Jason S

Littledike, Jason S is an individual health care provider with primary practice located at 77 S 400 W , Spanish Fork UT 84660-2053. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Littledike, Jason S can be contacted via phone (801) 798-1626.

Contact Information

Primary practice address
77 S 400 W Spanish Fork UT 84660-2053
Phone: (801) 798-1626
Fax: (801) 798-1236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 48738752401 Utah

Profile Details

NPI number 1386644524
LBN Legal business name Littledike, Jason S
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Apr 18th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386644524 NPPES
Utah MEDICAID D3911/870578539003
Utah Other QM0000076331
Utah Other 48738752402001
Utah Other 64-00582
Utah Other 48738752400001
Utah Other 64411

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