Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JARED T CLEGG, DPM
Deactivated Sole ProprietorDR. JARED T CLEGG, DPM is a Podiatrist healthcare provider located in PROVO, Utah. NPI 1588664759 is deactivated in the NPPES registry. Verify at CMS.
Podiatrist · PROVO, UT
This NPI has been deactivated.
The record was deactivated on March 22, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1588664759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (0.64931506849315 yrs)
- Last Updated
- Feb 10, 2016
- Deactivated
- Mar 22, 2006
- License
-
370946-0501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1973 NORTH STATE STREETPROVO, UT, 846041012Browse UT providers · Browse ZIP 84604
- Phone
- 8013732499
- Fax
- 8013735200
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID B RANDALL | DPM | 1710976535 |
| THOMAS G ROGERS | D.P.M. | 1720069446 |
| DR. SCOTT BRETT HUMPHERYS | DPM | 1275647596 |
| DAVID JARAMILLO | — | 1154437655 |
| VAL G. MULLINAX | DPM | 1528179256 |
| DR. JAMES THOMAS ROSS | DPM, PT | 1275688764 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.