Meservy, Jarle Zenoa

Meservy, Jarle Zenoa is an individual health care provider with primary practice located at 750 N Freedom Blvd Ste 300 , Provo UT 84601-1690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Meservy, Jarle Zenoa can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Ste 300 Provo UT 84601-1690
Phone: (801) 373-4760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD09268 Rhode Island
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 13735041 Utah

Profile Details

NPI number 1912952284
LBN Legal business name Meservy, Jarle Zenoa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Apr 16th, 2024 - about 2 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 1912952284 NPPES
Rhode Island MEDICAID 7010556
Rhode Island Other 22886-8
Rhode Island Other 15-56484
Rhode Island Other 410526

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