| E Alan Jeppsen Md Pc | |
|
5005 S 900 E Suite 100 Salt Lake City UT 84117-5788 | |
| (801) 598-8228 | |
| (801) 262-7567 |
| Full Name | E Alan Jeppsen Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5005 S 900 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Ernerst Alan Jeppsen (DOCTOR) |
| Authorized Official Contact | 8015988228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E Alan Jeppsen Md Pc Po Box 27688 Salt Lake City UT 84127-0688 Ph: (801) 534-1360 | E Alan Jeppsen Md Pc 5005 S 900 E Suite 100 Salt Lake City UT 84117-5788 Ph: (801) 598-8228 |
| NPI Number | 1699108225 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Medicare PECOS PAC ID | 5597701656 |
|---|---|
| Medicare Enrollment ID | O20050629000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699108225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 149728-1205 (Utah) | Primary |
| Provider Name | Ernest Alan Jeppsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891759254 PECOS PAC ID: 9335165927 Enrollment ID: I20051022000266 |
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