Anderson, Mikol Robert

Anderson, Mikol Robert is an individual health care provider with primary practice located at 1250 E 3900 S Suite 420, Salt Lake City UT 84124-1348. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Anderson, Mikol Robert can be contacted via phone (801) 269-9939.

Contact Information

Primary practice address
1250 E 3900 S Suite 420 Salt Lake City UT 84124-1348
Phone: (801) 269-9939
Fax: (801) 269-9949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 59638310501 Utah

Profile Details

NPI number 1992910905
LBN Legal business name Anderson, Mikol Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2007
Last updated Oct 31st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992910905 NPPES
Utah MEDICAID 1992910905

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