Bangs, Jennifer M

Bangs, Jennifer M is an individual health care provider with primary practice located at 401 S 400 E Mountain Land Rehabilitation, Bountiful UT 84010-4933. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bangs, Jennifer M can be contacted via phone (801) 397-8154.

Contact Information

Primary practice address
401 S 400 E Mountain Land Rehabilitation Bountiful UT 84010-4933
Phone: (801) 397-8154
Fax: (801) 397-8051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5927273-4201 Utah

Profile Details

NPI number 1871667451
LBN Legal business name Bangs, Jennifer M
Credentials OTD OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1871667451 NPPES
Utah MEDICAID D5312

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