Shoemaker, Jason Vaughn

Shoemaker, Jason Vaughn is an sole proprietor health care provider with primary practice located at 9045 S 1300 E , Sandy UT 84094-3134. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Shoemaker, Jason Vaughn can be contacted via phone (801) 666-6834.

Contact Information

Primary practice address
9045 S 1300 E Sandy UT 84094-3134
Phone: (801) 666-6834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1198020415 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X I7460559728 California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1023404563
LBN Legal business name Shoemaker, Jason Vaughn
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2015
Last updated Feb 24th, 2023 - 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.

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