Michael Schuhmann

Individual provider Active NPI Community Health Worker · Moroni, UT

NPI 1922485168 · NPPES record last updated Jun 18, 2015

Key facts

NPI
1922485168
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
21260 N. 1450 E.
Moroni, UT 84646-0383
Phone
(435) 851-6821
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X UT Yes

Addresses

Primary practice location

21260 N. 1450 E.
Moroni, UT 84646-0383

Mailing address

21260 N. 1450 E.
Moroni, UT 84646-0383

Other identifiers

IdentifierTypeStateIssuer
1MedicaidUT

Other providers in Moroni, UT

All providers in Moroni, UT · Community Health Worker in Utah

Sources for this page

Verify at the official NPI Registry.