Engelbert-Fenton, Michael David

Engelbert-Fenton, Michael David is an individual health care provider with primary practice located at 150 S 1000 E , Salt Lake City UT 84102-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Engelbert-Fenton, Michael David can be contacted via phone (801) 363-4071.

Contact Information

Primary practice address
150 S 1000 E Salt Lake City UT 84102-1443
Phone: (801) 363-4071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 102950-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 102950-1206 Utah

Profile Details

NPI number 1194701920
LBN Legal business name Engelbert-Fenton, Michael David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Sep 14th, 2021 - 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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