Fetzer, Jacob C

Fetzer, Jacob C is an individual health care provider with primary practice located at 30 N 1900 E Rm 4A100 , Salt Lake City UT 84132-0002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fetzer, Jacob C can be contacted via phone (801) 585-7676.

Contact Information

Primary practice address
30 N 1900 E Rm 4A100 Salt Lake City UT 84132-0002
Phone: (801) 585-7676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8421267-1206 Utah

Profile Details

NPI number 1235474172
LBN Legal business name Fetzer, Jacob C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2012
Last updated Nov 9th, 2021 - about 5 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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