Spackman, Jared P

Spackman, Jared P is an individual health care provider with primary practice located at 8822 South Redwood Road C-211, West Jordan UT 84088-8811. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Spackman, Jared P can be contacted via phone (801) 563-1975.

Contact Information

Primary practice address
8822 South Redwood Road C-211 West Jordan UT 84088-8811
Phone: (801) 563-1975
Fax: (801) 563-1984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4808078-1206 Utah

Profile Details

NPI number 1396757241
LBN Legal business name Spackman, Jared P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 18th, 2021 - about 4 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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