Squire, Michaela Antje

Squire, Michaela Antje is an sole proprietor health care provider with primary practice located at 81 N Mario Capecchi Dr Rm 4B096 , Salt Lake City UT 84113-1125. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Squire, Michaela Antje can be contacted via phone (801) 581-2121.

Contact Information

Primary practice address
81 N Mario Capecchi Dr Rm 4B096 Salt Lake City UT 84113-1125
Phone: (801) 581-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 261938 North Carolina
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 14212907-1204 Utah

Profile Details

NPI number 1376164061
LBN Legal business name Squire, Michaela Antje
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2020
Last updated Aug 11th, 2026 - about 2 months 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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