Sanderson, Jacob

Sanderson, Jacob is an individual health care provider with primary practice located at 1400 N 500 E , Logan UT 84341-2455. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Sanderson, Jacob can be contacted via phone (435) 716-2000.

Contact Information

Primary practice address
1400 N 500 E Logan UT 84341-2455
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6231344-4405 Utah

Profile Details

NPI number 1265094742
LBN Legal business name Sanderson, Jacob
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2019
Last updated Oct 13th, 2025 - about last year

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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