Mickelson, Travis Scott

Mickelson, Travis Scott is an individual health care provider with primary practice located at Department Of Psychiatry 30 N. 1900 E., Slc UT 84132-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mickelson, Travis Scott can be contacted via phone (801) 581-7951.

Contact Information

Primary practice address
Department Of Psychiatry 30 N. 1900 E. Slc UT 84132-0001
Phone: (801) 581-7951
Fax: (801) 581-5604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 6837701-1205 Utah

Profile Details

NPI number 1831364249
LBN Legal business name Mickelson, Travis Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 2008 - about 18 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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