Meservy, Jarle Zenoa
Meservy, Jarle Zenoa is an individual health care provider with primary practice located at 750 N Freedom Blvd Ste 300 , Provo UT 84601-1690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Meservy, Jarle Zenoa can be contacted via phone (801) 373-4760.Contact Information
Primary practice address
750 N Freedom Blvd Ste 300
Provo UT 84601-1690
Phone: (801) 373-4760
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD09268 | Rhode Island |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 13735041 | Utah |
Profile Details
NPI number | 1912952284 |
---|---|
LBN Legal business name | Meservy, Jarle Zenoa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2006 |
Last updated | Apr 16th, 2024 - about last year |
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 | 1912952284 | NPPES |
Rhode Island | MEDICAID | 7010556 | |
Rhode Island | Other | 22886-8 | |
Rhode Island | Other | 15-56484 | |
Rhode Island | Other | 410526 |
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