Desjardins, Michael Charles
Desjardins, Michael Charles is an individual health care provider with primary practice located at 668 E 12225 S Ste 203 , Draper UT 84020-8385. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Desjardins, Michael Charles can be contacted via phone (801) 572-8255.Contact Information
Primary practice address
668 E 12225 S Ste 203
Draper UT 84020-8385
Phone: (801) 572-8255
Fax: (801) 572-8144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 377701-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 377701-4405 | Utah |
Profile Details
| NPI number | 1801924766 |
|---|---|
| LBN Legal business name | Desjardins, Michael Charles |
| Credentials | MSN, APRN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Sep 17th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801924766 | NPPES |
| Utah | Other | 3777014408 | LICENSE |
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