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Contact Information

JACOB E JESSOP, DO
50 N MEDICAL DR
SALT LAKE CITY, UT84132-0001
 Phone: 801-581-6393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JACOB E JESSOP · (Male)

NPI # 1164644944
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/02/2007
Last updated 10/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 7454867-1204
Hospital affiliation(s)
  • UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS - (Acute Care)
    50 NORTH MEDICAL DRIVE
    SALT LAKE CITY, UT 84132
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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