Roberts, Jordan Russell

Roberts, Jordan Russell is an individual health care provider with primary practice located at 999 E Murray Holladay Rd Ste 207 , Holladay UT 84117-5093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roberts, Jordan Russell can be contacted via phone (801) 268-2584.

Contact Information

Primary practice address
999 E Murray Holladay Rd Ste 207 Holladay UT 84117-5093
Phone: (801) 268-2584
Fax: (801) 262-1168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9897039-1205 Utah

Profile Details

NPI number 1588043871
LBN Legal business name Roberts, Jordan Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2015
Last updated Sep 15th, 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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