Simonis, Jacquelyn M.

Simonis, Jacquelyn M. is an individual health care provider with primary practice located at 30 N 1900 E Rm 4C104 , Salt Lake City UT 84132-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Simonis, Jacquelyn M. can be contacted via phone (801) 585-1686.

Contact Information

Primary practice address
30 N 1900 E Rm 4C104 Salt Lake City UT 84132-0002
Phone: (801) 585-1686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 11849354-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 209357 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11849354-1205 Utah

Profile Details

NPI number 1548657703
LBN Legal business name Simonis, Jacquelyn M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2015
Last updated Dec 20th, 2021 - about 3 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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