Robertson, Michelle

Robertson, Michelle is an sole proprietor health care provider with primary practice located at 7601 S Redwood Rd , West Jordan UT 84084-4007. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Robertson, Michelle can be contacted via phone (801) 233-8670.

Contact Information

Primary practice address
7601 S Redwood Rd West Jordan UT 84084-4007
Phone: (801) 233-8670
Fax: (801) 233-8682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9153574-6005 Utah

Profile Details

NPI number 1508267121
LBN Legal business name Robertson, Michelle
Credentials CSUDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2014
Last updated Sep 15th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508267121 NPPES
Utah MEDICAID 1306010574

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