Mickelsen, Shaun

Mickelsen, Shaun is an individual health care provider with primary practice located at 2121 N 1700 W , Layton UT 84041-8803. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mickelsen, Shaun can be contacted via phone (801) 773-4840.

Contact Information

Primary practice address
2121 N 1700 W Layton UT 84041-8803
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 363AM0700X Utah

Profile Details

NPI number 1871945618
LBN Legal business name Mickelsen, Shaun
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated Oct 6th, 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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