Anderson, Jacob Glen

Anderson, Jacob Glen is an individual health care provider with primary practice located at 81 N Mario Capecchi Dr # 4B056 , Salt Lake City UT 84113-1125. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Anderson, Jacob Glen can be contacted via phone (801) 581-2121.

Contact Information

Primary practice address
81 N Mario Capecchi Dr # 4B056 Salt Lake City UT 84113-1125
Phone: (801) 581-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 390200000X
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 14210863-1205 Utah

Profile Details

NPI number 1821733080
LBN Legal business name Anderson, Jacob Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2022
Last updated Mar 19th, 2025 - about last year

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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