Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAELA ANTJE SQUIRE, DO
Active Sole ProprietorMICHAELA ANTJE SQUIRE, DO is a 2084E0001X healthcare provider located in SALT LAKE CITY, Utah. NPI 1376164061 is currently active in the NPPES registry. Verify at CMS.
2084E0001X · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1376164061
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2020 (6.2949252357786 yrs)
- Last Updated
- Mar 24, 2025
- Licenses
-
14212907-1204 (UT)261938 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
81 N MARIO CAPECCHI DR RM 4B096SALT LAKE CITY, UT, 841131125Browse UT providers · Browse ZIP 84113
- Phone
- 8015812121
- Primary Specialty
-
2084E0001X
2084E0001X
- Additional Specialty
- Student (Health Education/Training)
Other 2084E0001X Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| JEFFREY KIMBALL BIGELOW | MD | 1790962587 |
| MATTHEW JENSEN | MD | 1295232155 |
| MUHAMMAD M. MAKKIEH | DO | 1841873841 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.