Ross, Jennifer

Ross, Jennifer is an sole proprietor health care provider with primary practice located at 520 Medical Dr Ste #110, Bountiful UT 84010-4968. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Ross, Jennifer can be contacted via phone (801) 397-0890.

Contact Information

Primary practice address
520 Medical Dr Ste #110 Bountiful UT 84010-4968
Phone: (801) 397-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 343284-1204 Utah
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 343284-1204 Utah
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 343284-1204 Utah

Profile Details

NPI number 1982666574
LBN Legal business name Ross, Jennifer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated May 28th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982666574 NPPES
Utah MEDICAID D2035

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