Petersen, Jason Dayne

Petersen, Jason Dayne is an individual health care provider with primary practice located at 5353 S 960 E #150, Salt Lake City UT 84117-3569. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck is his primary health care specialty. Petersen, Jason Dayne can be contacted via phone (801) 261-5791.

Contact Information

Primary practice address
5353 S 960 E #150 Salt Lake City UT 84117-3569
Phone: (801) 261-5791
Fax: (801) 747-7740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 83185641205 Utah
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 83185641205 Utah

Profile Details

NPI number 1215105804
LBN Legal business name Petersen, Jason Dayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2008
Last updated Aug 7th, 2012 - about 14 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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