Tongaonevai, Jared Moetao

Tongaonevai, Jared Moetao is an individual health care provider with primary practice located at 1020 S Main St , Slc UT 84101-3176. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Tongaonevai, Jared Moetao can be contacted via phone (801) 539-7028.

Contact Information

Primary practice address
1020 S Main St Slc UT 84101-3176
Phone: (801) 539-7028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 5185700-3102 Utah

Profile Details

NPI number 1497725022
LBN Legal business name Tongaonevai, Jared Moetao
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 10th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497725022 NPPES
Utah Other 107031025101 INTERMTN HEALTH CARE

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