Blackhurst, Michael
Blackhurst, Michael is an individual health care provider with primary practice located at 1963 S 1200 E Ste 103 , Salt Lake City UT 84105-3523. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blackhurst, Michael can be contacted via phone (801) 466-1212.Contact Information
Primary practice address
1963 S 1200 E Ste 103
Salt Lake City UT 84105-3523
Phone: (801) 466-1212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9836551-9922 | Utah |
Profile Details
| NPI number | 1265883474 |
|---|---|
| LBN Legal business name | Blackhurst, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2016 |
| Last updated | Jun 29th, 2016 - about 10 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.
Popular Providers
-
Miles, Todd
500 Foothill Dr , Salt Lake City UT 84148-0001 -
Boseman, Jordan Cody
4190 S Highland Dr , Salt Lake City UT 84124-2600 -
Vincent, Todd Steven
2114 S Highland Dr , Salt Lake City UT 84106-2807 -
Gatrell, Gregory Wallace
2015 S 1300 E , Salt Lake City UT 84105-3658 -
Brickey, Thomas F.
3191 Valley St , Salt Lake City UT 84109-4274 -
Hansen, Justin
279 E 5900 S Ste 200 , Salt Lake City UT 84107-5424 -
Aste, Whitney
1548 E 4500 S Ste 104 , Salt Lake City UT 84117 -
Funk, Daniel Shawn
1345 E 3900 S Suite 108, Salt Lake City UT 84124-1474