Mikol Anderson Pc

LBN: Mikol Anderson Pc
Mikol Anderson Pc is an health care organization with primary practice located at 1250 E 3900 S Suite 420, Salt Lake City UT 84124-1348. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Mikol Anderson Pc can be contacted via phone (801) 269-9939, or through Anderson, Mikol Robert via phone (801) 269-9939.

Contact Information

Primary practice address
1250 E 3900 S Suite 420 Salt Lake City UT 84124-1348
Phone: (801) 269-9939
Fax: (801) 269-9949
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Mikol Robert Doctor of Podiatric Medicine (DPM)
Phone: (801) 269-9939

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 59638310501 Utah

Profile Details

NPI number 1982884334
LBN Legal business name Mikol Anderson Pc
DBA Doing business as
Authorized official Anderson, Mikol Robert Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Oct 31st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982884334 NPPES
Utah MEDICAID 1992910905

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