Skidmore, Jon Bullock

Skidmore, Jon Bullock is an sole proprietor health care provider with primary practice located at 363 E 1200 S , Orem UT 84058-6904. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Skidmore, Jon Bullock can be contacted via phone (801) 426-2685.

Contact Information

Primary practice address
363 E 1200 S Orem UT 84058-6904
Phone: (801) 426-2685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 266381-2501 Utah

Profile Details

NPI number 1407977903
LBN Legal business name Skidmore, Jon Bullock
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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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