Michael K. Fillmore in Sandy - Clinical

Michael K. Fillmore - NPI 1023103538

Michael K. Fillmore is a Clinical in Sandy, Utah. Michael K. Fillmore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael K. Fillmore is 1023103538. The last update date is 2011-05-04.

Michael K. Fillmore's current location address is 625 E 8400 S, Sandy, Utah. You can contact this provider via phone number 8015662556 and fax number 8015662639. The mailing address for Michael K. Fillmore is 625 E 8400 S, Sandy, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael K. Fillmore
Address 625 E 8400 S, Sandy, Utah
Phone Number 8015662556
Fax Number 8015662639
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1023103538
Provider Enumeration Date 2006-10-03
Last Updated Date 2011-05-04

Provider Mailing Address Detail

Address 625 E 8400 S
City Sandy
State Utah (UT)
Post Code 840700525
Phone Number 8015662556
Fax Number 8015662639

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 4800488-3501
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Michael K. Fillmore

What is the unique identifier code issued to Michael K. Fillmore by the Centers for Medicare & Medicaid Services?

The Michael K. Fillmore has been assigned the NPI (National Provider Identifier) 1023103538. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Michael K. Fillmore is located?

The Michael K. Fillmore is situated at the following address: 625 E 8400 S, Sandy, UT, 840700525.

What is Michael K. Fillmore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michael K. Fillmore is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Michael K. Fillmore receive its 1023103538 assignment from the Centers for Medicare & Medicaid Services?

The Michael K. Fillmore was assigned its 1023103538 by the Centers for Medicare & Medicaid Services on 2006-10-03.

As of what date were the Michael K. Fillmore's details last updated?

The information pertaining to the Michael K. Fillmore, including its address, specialty, and other details, was most recently updated on 2011-05-04.

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