Mickelsen, Shaun
Mickelsen, Shaun is an individual health care provider with primary practice located at 2121 N 1700 W , Layton UT 84041-8803. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mickelsen, Shaun can be contacted via phone (801) 773-4840.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 363AM0700X | Utah |
Profile Details
| NPI number | 1871945618 |
|---|---|
| LBN Legal business name | Mickelsen, Shaun |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2016 |
| Last updated | Oct 6th, 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.
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