Herzog, Jessica Lauren Madert

Herzog, Jessica Lauren Madert is an individual health care provider with primary practice located at 3397 N 1200 E Ste 103 , Lehi UT 84043-3262. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Herzog, Jessica Lauren Madert can be contacted via phone (801) 797-0877.

Contact Information

Primary practice address
3397 N 1200 E Ste 103 Lehi UT 84043-3262
Phone: (801) 797-0877
Fax: (801) 290-8141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8450572-1205 Utah
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD449593 Pennsylvania
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD449593 Pennsylvania
Allopathic & Osteopathic Physicians / General Practice 208D00000X 8450572-1205 Utah

Profile Details

NPI number 1912035221
LBN Legal business name Herzog, Jessica Lauren Madert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Feb 18th, 2022 - about 4 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 1912035221 NPPES
Pennsylvania Other 420536 UPMC
Pennsylvania Other 2983938 UPMC

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