Wagstaff, Jessica Susan
Wagstaff, Jessica Susan is an individual health care provider with primary practice located at 1435 Village Dr Dept. 2801, Ogden UT 84408-2801. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wagstaff, Jessica Susan can be contacted via phone (801) 626-6000.Contact Information
Primary practice address
1435 Village Dr Dept. 2801
Ogden UT 84408-2801
Phone: (801) 626-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1639581747 |
|---|---|
| LBN Legal business name | Wagstaff, Jessica Susan |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2014 |
| Last updated | Jun 1st, 2015 - about 9 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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