Su, Jason T

Su, Jason T is an individual health care provider with primary practice located at 1055 N 300 W Ste 311 , Provo UT 84604-3373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Su, Jason T can be contacted via phone (385) 477-6800.

Contact Information

Primary practice address
1055 N 300 W Ste 311 Provo UT 84604-3373
Phone: (385) 477-6800
Fax: (385) 477-6801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 5665627-1204 Utah

Profile Details

NPI number 1427137991
LBN Legal business name Su, Jason T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Feb 10th, 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.

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