Fairbanks, Mikala

Fairbanks, Mikala is an individual health care provider with primary practice located at 638 N 450 W , Orem UT 84057-3794. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Fairbanks, Mikala can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
638 N 450 W Orem UT 84057-3794
Phone: (801) 373-4760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 178234323 Utah

Profile Details

NPI number 1306391370
LBN Legal business name Fairbanks, Mikala
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2016
Last updated Aug 19th, 2016 - about 8 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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