Stoddart, Jeremy Royle

Stoddart, Jeremy Royle is an individual health care provider with primary practice located at 30 N 1900 E University Hospital,, Slc UT 84132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Stoddart, Jeremy Royle can be contacted via phone (801) 581-2121.

Contact Information

Primary practice address
30 N 1900 E University Hospital, Slc UT 84132
Phone: (801) 581-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MR-1166 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MR-1166 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M-11897 Idaho

Profile Details

NPI number 1023242815
LBN Legal business name Stoddart, Jeremy Royle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2009
Last updated Nov 23rd, 2021 - about 5 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 1023242815 NPPES
Idaho MEDICAID 1023242815

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