Lambert, Jay Cannon

Lambert, Jay Cannon is an individual health care provider with primary practice located at 4095 E Pony Express Pkwy Ste 1, Eagle Mountain UT 84005-5529. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lambert, Jay Cannon can be contacted via phone (801) 429-8037.

Contact Information

Primary practice address
4095 E Pony Express Pkwy Ste 1 Eagle Mountain UT 84005-5529
Phone: (801) 429-8037
Fax: (801) 753-7476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 413 Montana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9412400-1206 Utah

Profile Details

NPI number 1770677478
LBN Legal business name Lambert, Jay Cannon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 12th, 2018 - about 8 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 1770677478 NPPES
Montana Other 0071813 CAH MEDICARE PART B
Montana MEDICAID 4307589 CAH MEDICARE PART B
Montana Other P00307087 CAH MEDICARE PART B

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