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Contact Information

MIKE BURGGRAF, M.S., L-ATC, EMT
495 S 100 E
MANTUA, UT84324
 Phone: 435-720-1321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MIKE BURGGRAF · (Male)

NPI Number 1558726448
Status Active
Credentials M.S., L-ATC, EMT
Entity Individual
Enumeration date 12/21/2015
Last updated 12/21/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 070302009
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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