Jason Eatough in Salt Lake City - Physician Assistant
Jason Eatough - NPI 1205874179
Jason Eatough is a Physician Assistant in Salt Lake City, Utah. Jason Eatough practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason Eatough is 1205874179. The last update date is 2023-09-22.
Jason Eatough's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 8017143200. The mailing address for Jason Eatough is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Eatough |
|---|---|
| Address | Po Box 27128, Salt Lake City, Utah |
| Phone Number | 8017143200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1205874179 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2023-09-22 |
Provider Mailing Address Detail
| Address | Po Box 27128 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841270128 |
| Phone Number | 8017143200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 319284-1206 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806997400 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jason Eatough by the Centers for Medicare & Medicaid Services (CMS)?
The Jason Eatough has been assigned the NPI (National Provider Identifier) 1205874179. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jason Eatough located?
The Jason Eatough is located at Po Box 27128, Salt Lake City, UT 841270128.
What is the area of specialization for Jason Eatough, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jason Eatough is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Jason Eatough's 1205874179 issued?
The Jason Eatough's 1205874179 was issued on 2006-06-03.
When was the Jason Eatough's information last updated?
The Jason Eatough's information was last updated on 2023-09-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY