Mitchell, John Richard

Mitchell, John Richard is an individual health care provider with primary practice located at 5965 South 900 East Ste 240 Valley Mental Health Ad, Salt Lake City UT 84121-1720. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Mitchell, John Richard can be contacted via phone (801) 263-7225.

Contact Information

Primary practice address
5965 South 900 East Ste 240 Valley Mental Health Ad Salt Lake City UT 84121-1720
Fax: (801) 263-7279
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 202824-3102 Utah

Profile Details

NPI number 1619955812
LBN Legal business name Mitchell, John Richard
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Mar 17th, 2008 - about 17 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 1619955812 NPPES
Utah Other 107032301101 INTERMOUTAIN HEALTH CARE

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