Shipotko, Mikhail

Shipotko, Mikhail is an sole proprietor health care provider with primary practice located at 4401 Harrison Blvd , Ogden UT 84403-3195. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shipotko, Mikhail can be contacted via phone (801) 387-2800.

Contact Information

Primary practice address
4401 Harrison Blvd Ogden UT 84403-3195
Phone: (801) 387-2800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R2744 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 13523114-1235 Utah

Profile Details

NPI number 1003217977
LBN Legal business name Shipotko, Mikhail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2014
Last updated Jun 5th, 2024 - about 2 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 1003217977 NPPES
Texas MEDICAID 370615201

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