Wrobel, Mikelle Mitzi
Wrobel, Mikelle Mitzi is an sole proprietor health care provider with primary practice located at 763 W 700 S , Woods Cross UT 84087-1438. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Wrobel, Mikelle Mitzi can be contacted via phone (801) 292-2318.Contact Information
Primary practice address
763 W 700 S
Woods Cross UT 84087-1438
Phone: (801) 292-2318
Fax: (801) 295-2556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13082475-3503 | Utah |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1861156200 |
|---|---|
| LBN Legal business name | Wrobel, Mikelle Mitzi |
| Credentials | SSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2021 |
| Last updated | Feb 10th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861156200 | NPPES |
| Utah | Other | 260022408 | RAILROAD MEDICARE |
| Utah | Other | 000055266 | RAILROAD MEDICARE |
| Utah | MEDICAID | 8760003008007 | RAILROAD MEDICARE |
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