Mccloskey, Jake O

Mccloskey, Jake O is an individual health care provider with primary practice located at 170 E Altamira Dr , Cedar City UT 84720-3509. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Mccloskey, Jake O can be contacted via phone (435) 586-0213.

Contact Information

Primary practice address
170 E Altamira Dr Cedar City UT 84720-3509
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1639300742
LBN Legal business name Mccloskey, Jake O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2009
Last updated Aug 6th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639300742 NPPES
Utah MEDICAID 171M00000X

Popular Providers