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Contact Information

JASON J NAKKEN, DO
3585 N UNIVERSITY AVE STE 105
PROVO, UT84604-6601
 Phone: 801-356-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JASON J NAKKEN · (Male)

NPI Number 1356755094
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/19/2014
Last updated 08/14/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # BP1-0050303
  • UT License # 11085893-1204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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