Holbrook, Jacob

Holbrook, Jacob is an individual health care provider with primary practice located at 934 S Main St , Layton UT 84041-7135. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Holbrook, Jacob can be contacted via phone (801) 773-7060.

Contact Information

Primary practice address
934 S Main St Layton UT 84041-7135
Phone: (801) 773-7060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6967058-3503 Utah

Profile Details

NPI number 1225413586
LBN Legal business name Holbrook, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2015
Last updated Nov 15th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225413586 NPPES
Utah Other 1225413586 PRIVATE PRACTICE NON MEDICAID

Popular Providers