Smith, Jason Larry
Smith, Jason Larry is an sole proprietor health care provider with primary practice located at 520 Medical Dr Ste 200 , Bountiful UT 84010-8928. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Jason Larry can be contacted via phone (801) 292-4400.Contact Information
Primary practice address
520 Medical Dr Ste 200
Bountiful UT 84010-8928
Phone: (801) 292-4400
Fax: (844) 308-6615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 369867-1202 | Utah |
Profile Details
| NPI number | 1558391169 |
|---|---|
| LBN Legal business name | Smith, Jason Larry |
| Credentials | DC, MS, DACNB |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Dec 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558391169 | NPPES |
| Utah | Other | 350055669 | RAILROAD MEDICARE NUMBER |
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