Fulgham, Jared Austin

Fulgham, Jared Austin is an individual health care provider with primary practice located at 6410 Old Main Hl , Logan UT 84322-6410. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Fulgham, Jared Austin can be contacted via phone (435) 797-1375.

Contact Information

Primary practice address
6410 Old Main Hl Logan UT 84322-6410
Fax: (844) 308-5865
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9451387-4102 Utah

Profile Details

NPI number 1659932275
LBN Legal business name Fulgham, Jared Austin
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Jun 25th, 2019 - about 7 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 1659932275 NPPES
Utah Other 9451387-4102 STATE LICENSE
Utah Other SLP-3236 STATE LICENSE

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