Ingraham, Justin

Ingraham, Justin is an sole proprietor health care provider with primary practice located at 3665 S 8400 W , Magna UT 84044-4907. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ingraham, Justin can be contacted via phone (801) 250-9638.

Contact Information

Primary practice address
3665 S 8400 W Magna UT 84044-4907
Phone: (801) 250-9638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12849022-4405 Utah

Profile Details

NPI number 1437954260
LBN Legal business name Ingraham, Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2025
Last updated Feb 17th, 2025 - about last year

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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