Carter, Jeff

Carter, Jeff is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Carter, Jeff can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1548011372
LBN Legal business name Carter, Jeff
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2024
Last updated Mar 29th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548011372 NPPES
Utah Other 000055266 MEDICARE PIN
Utah MEDICAID 8760003008007 MEDICARE PIN
Utah Other 260022408 MEDICARE PIN

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