Metcalf, Michael Hawkes
Metcalf, Michael Hawkes is an individual health care provider with primary practice located at 1820 Sidewinder Dr , Park City UT 84060-7492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Metcalf, Michael Hawkes can be contacted via phone (435) 655-6600.Contact Information
Primary practice address
1820 Sidewinder Dr
Park City UT 84060-7492
Phone: (435) 655-6600
Fax: (435) 655-2388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 4956934-1205 | Utah |
Profile Details
| NPI number | 1750333092 |
|---|---|
| LBN Legal business name | Metcalf, Michael Hawkes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Oct 11th, 2007 - about 19 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 | 1750333092 | NPPES |
| Utah | Other | TPRA09041 | MOLINA ADVANTAGE |
| Utah | Other | 841433992MM2 | MOLINA ADVANTAGE |
| Utah | Other | 49569348901001 | MOLINA ADVANTAGE |
| Utah | Other | 68380 | MOLINA ADVANTAGE |
| Utah | Other | 09-00368 | MOLINA ADVANTAGE |
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