Everett, Samuel R

Everett, Samuel R is an individual health care provider with primary practice located at 154 E Myrtle Ave Ste 204 , Murray UT 84107-4850. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Everett, Samuel R can be contacted via phone (801) 369-8989.

Contact Information

Primary practice address
154 E Myrtle Ave Ste 204 Murray UT 84107-4850
Phone: (801) 369-8989
Fax: (801) 704-9741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 9492493-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9492493-1206 Utah

Profile Details

NPI number 1104224815
LBN Legal business name Everett, Samuel R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2014
Last updated Oct 12th, 2023 - about last year

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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