Mansfield, Austin

Mansfield, Austin is an sole proprietor health care provider with primary practice located at 1664 S Dixie Dr Ste E102 , St George UT 84770-7329. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Mansfield, Austin can be contacted via phone (435) 703-9647.

Contact Information

Primary practice address
1664 S Dixie Dr Ste E102 St George UT 84770-7329
Fax: (435) 703-6003
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10666184-4405 Utah

Profile Details

NPI number 1568191088
LBN Legal business name Mansfield, Austin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2022
Last updated Oct 31st, 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.

Request for update

Popular Providers