Shaw, Mikelle

Shaw, Mikelle is an individual health care provider with primary practice located at 60 S Main St , Brigham City UT 84302-6719. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Shaw, Mikelle can be contacted via phone (435) 239-8768.

Contact Information

Primary practice address
60 S Main St Brigham City UT 84302-6719
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1053109959
LBN Legal business name Shaw, Mikelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2025
Last updated Apr 29th, 2025 - about last year

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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