JESSICA S BACIKALO, PA-C, Medical SALT LAKE CITY, UT

Contact Information

JESSICA S BACIKALO, PA-C

500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001

Phone: 801-582-1565
Fax: 801-584-5647
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JESSICA S BACIKALO · (Female)

NPI #	`1700033024`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	08/19/2008
Last updated	10/16/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	UT License # 177611-1205
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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JESSICA S BACIKALO, PA-C – NPI #1700033024Medical

Contact Information

Specialty

Medical

NPI Profile & details for JESSICA S BACIKALO · (Female)

Reviews for JESSICA S BACIKALO

JESSICA S BACIKALO, PA-C – NPI #1700033024
Medical