Larsen, Jeffery Blythe
Larsen, Jeffery Blythe is an individual health care provider with primary practice located at 1000 Old Main Hl Comd Department, Umc 1000, Logan UT 84322-1000. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Larsen, Jeffery Blythe can be contacted via phone (435) 797-1390.Contact Information
Primary practice address
1000 Old Main Hl Comd Department, Umc 1000
Logan UT 84322-1000
Phone: (435) 797-1390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 6207896-4101 | Utah |
Profile Details
| NPI number | 1033441308 |
|---|---|
| LBN Legal business name | Larsen, Jeffery Blythe |
| Credentials | PH.D., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2010 |
| Last updated | Nov 13th, 2018 - about 7 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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