MICKEAL PAUL JOOS


Address: 1388 W River Ridge Dr, West Jordan, UT 84088-6537
Phone: 8019703948

MICKEAL PAUL JOOS (NPI# 1881198570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881198570
Entity Type Individual
Full Name MICKEAL PAUL JOOS
Practice Address 1388 W River Ridge Dr
West Jordan
UT 84088-6537
Practice Telephone 8019703948
Enumeration Date 2018-03-19
Last Update Date 2018-03-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255R0406X Specialist/Technologist
Specialization: Rehabilitation, Blind
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1388 W RIVER RIDGE DR
City WEST JORDAN
State UT
Zip Code 84088-6537

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1124546742 Crystal Lynn Santos Counselor 4431 8200 S, West Jordan, UT 84088 2017-09-04
1154705960 Heston Farnsworth Dentist 9217 South Redwood Road, Suite B, West Jordan, UT 84088 2015-07-13
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1962764282 Steven Howard Reano Specialist 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 2012-06-12
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Taxonomy Information

Taxonomy Code 2255R0406X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Rehabilitation, Blind

Taxonomy Definition

Definition to come...

Competitor

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City WEST JORDAN
Zip Code 84088

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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