Tea, Jonathon
Tea, Jonathon is an sole proprietor health care provider with primary practice located at 862 S Main St , Brigham City UT 84302-3320. He recently has only one registered license in Agencies / Foster Care Agency, which is considered as his primary health care specialty. Tea, Jonathon can be contacted via phone (435) 723-1079.Contact Information
Primary practice address
862 S Main St
Brigham City UT 84302-3320
Phone: (435) 723-1079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X |
Profile Details
| NPI number | 1134403074 |
|---|---|
| LBN Legal business name | Tea, Jonathon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2011 |
| Last updated | Oct 10th, 2011 - about 13 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 | 1134403074 | NPPES |
| Utah | MEDICAID | HT 006457-001 |
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