Gora, Jesse
Gora, Jesse is an individual health care provider with primary practice located at 1060 E 100 S Suite 105, Salt Lake City UT 84102-1501. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gora, Jesse can be contacted via phone (801) 532-7414.Contact Information
Primary practice address
1060 E 100 S Suite 105
Salt Lake City UT 84102-1501
Phone: (801) 532-7414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 50251392501 | Utah |
Profile Details
| NPI number | 1386629376 |
|---|---|
| LBN Legal business name | Gora, Jesse |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Oct 18th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386629376 | NPPES |
| Utah | Other | 107029545101 | U006 |
| Utah | Other | 8573690 | U006 |
| Utah | Other | 942938348015 | U006 |
| Utah | Other | Q11013 | U006 |
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