Boberg, Jeremy

Boberg, Jeremy is an individual health care provider with primary practice located at 2590 E Prairie View Dr , Eagle Mountain UT 84005-6096. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Boberg, Jeremy can be contacted via phone (801) 634-8938.

Contact Information

Primary practice address
2590 E Prairie View Dr Eagle Mountain UT 84005-6096
Phone: (801) 634-8938
Fax: (801) 766-1940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5829317-6008 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5829317-3501 Utah

Profile Details

NPI number 1942666870
LBN Legal business name Boberg, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2016
Last updated Jan 7th, 2016 - 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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