Johnson, Jared Randall
Johnson, Jared Randall is an sole proprietor health care provider with primary practice located at 1085 S Bluff St Bsmt , St George UT 84770-5245. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Johnson, Jared Randall can be contacted via phone (435) 674-9999.Contact Information
Primary practice address
1085 S Bluff St Bsmt
St George UT 84770-5245
Phone: (435) 674-9999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | F23-108644 | Utah |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | F22-101891 | Utah |
Profile Details
| NPI number | 1568337137 |
|---|---|
| LBN Legal business name | Johnson, Jared Randall |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2025 |
| Last updated | Oct 6th, 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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