Wahlen, Jack D

Wahlen, Jack D is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste 3630, Ogden UT 84403-3271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Wahlen, Jack D can be contacted via phone (801) 387-7900.

Contact Information

Primary practice address
4403 Harrison Blvd Ste 3630 Ogden UT 84403-3271
Phone: (801) 387-7900
Fax: (801) 387-7910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 791639051205 Utah

Profile Details

NPI number 1033143508
LBN Legal business name Wahlen, Jack D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 26th, 2008 - about 17 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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