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Jeffrey Jon Haslip

Community Health Worker in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1003262437
StatusActive
Last updated in NPPESMay 4, 2016

Details

NPI
1003262437
Entity type
Individual (NPI-1)
Name
Mr. Jeffrey Jon Haslip
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2016
Last updated
May 4, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

344 E 100 S Ste 301
Salt Lake City, UT 84111-1727

Phone 801-322-4257

Mailing address

344 E 100 S Ste 301
Salt Lake City, UT 84111-1727

Phone 801-322-4257

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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