Handlon, K Michael

Handlon, K Michael is an individual health care provider with primary practice located at 5444 S. Green St. , Murray UT 84123-5632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Handlon, K Michael can be contacted via phone (801) 262-8120.

Contact Information

Primary practice address
5444 S. Green St. Murray UT 84123-5632
Phone: (801) 262-8120
Fax: (801) 262-3897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5120535-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-11493 Idaho

Profile Details

NPI number 1629077979
LBN Legal business name Handlon, K Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629077979 NPPES
Nevada MEDICAID 100505538
Nevada MEDICAID 807115700
Nevada MEDICAID 923632
Nevada Other P00651531
Nevada MEDICAID 120743100
Nevada MEDICAID D4482
Nevada Other P00199614

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