Muchmore, Michele

Muchmore, Michele is an sole proprietor health care provider with primary practice located at 3903 Medical Dr Ste 300 , Ogden UT 84403-2317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Muchmore, Michele can be contacted via phone (801) 387-5600.

Contact Information

Primary practice address
3903 Medical Dr Ste 300 Ogden UT 84403-2317
Phone: (801) 387-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 288517-4405 Utah

Profile Details

NPI number 1447904313
LBN Legal business name Muchmore, Michele
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2022
Last updated Oct 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447904313 NPPES
Utah MEDICAID 8760003008007
Utah Other 260022408
Utah Other 000055266

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