Wackerbarth, Jesse P.
Wackerbarth, Jesse P. is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wackerbarth, Jesse P. can be contacted via phone (801) 507-7000.Contact Information
Primary practice address
5121 S Cottonwood St
Murray UT 84107-5701
Phone: (801) 507-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD61094335 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13312672-1205 | Utah |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 13312672-1205 | Utah |
Profile Details
| NPI number | 1902303613 |
|---|---|
| LBN Legal business name | Wackerbarth, Jesse P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2018 |
| Last updated | Jan 29th, 2026 - about 9 months 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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