Jeremy Michael Eatough, PA-C
Jeremy Michael Eatough, PA-C is a Physician Assistant in Provo, Utah. Qualified in 2021, 5 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 5
- Licensed in
- UT
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
Provo, UTFax: (801) 357-1779
No coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1215 W 1870 N, Provo, UT 84604-5017 — (801) 717-5958
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 12478072-1206 (UT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1689245300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | July 3, 2021 |
| Last updated in NPPES | October 4, 2021 |
| Certification date | October 4, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Ihc Health Services Inc — 3947 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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