Mitchell, Max

Mitchell, Max is an individual health care provider with primary practice located at 112 W 770 N , Santaquin UT 84655-7913. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mitchell, Max can be contacted via phone (801) 754-3654.

Contact Information

Primary practice address
112 W 770 N Santaquin UT 84655-7913
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3102637-4405 Utah

Profile Details

NPI number 1174995500
LBN Legal business name Mitchell, Max
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2015
Last updated Sep 29th, 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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