Roush, Jaclyn

Roush, Jaclyn is an individual health care provider with primary practice located at 6192 S Rodeo Ln , Murray UT 84121-2034. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Roush, Jaclyn can be contacted via phone (801) 599-7403.

Contact Information

Primary practice address
6192 S Rodeo Ln Murray UT 84121-2034
Phone: (801) 599-7403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1508450404
LBN Legal business name Roush, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2021
Last updated Jul 27th, 2022 - about 2 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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