Pack, Jeremy

Pack, Jeremy is an sole proprietor health care provider with primary practice located at 6233 S Highland Dr , Holladay UT 84121-2125. He recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as his primary health care specialty. Pack, Jeremy can be contacted via phone (801) 520-3976.

Contact Information

Primary practice address
6233 S Highland Dr Holladay UT 84121-2125
Phone: (801) 520-3976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1912632175
LBN Legal business name Pack, Jeremy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2022
Last updated Jul 21st, 2022 - about 4 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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