Crockett, Mindy
Crockett, Mindy is an individual health care provider with primary practice located at 395 W Bulldog Blvd , Provo UT 84604-3311. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Crockett, Mindy can be contacted via phone (801) 357-8143.Contact Information
Primary practice address
395 W Bulldog Blvd
Provo UT 84604-3311
Phone: (801) 357-8143
Fax: (801) 357-8329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 6434151-4901 | Utah |
Profile Details
| NPI number | 1225297419 |
|---|---|
| LBN Legal business name | Crockett, Mindy |
| Credentials | RDN, CD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Jun 30th, 2022 - about 3 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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