Caudle, Micah
Caudle, Micah is an individual health care provider with primary practice located at 1223 Willow Creed Rd , Prescott AZ 86301-1427. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Caudle, Micah can be contacted via phone (928) 777-9950.Contact Information
Primary practice address
1223 Willow Creed Rd
Prescott AZ 86301-1427
Phone: (928) 777-9950
Fax: (928) 777-9975
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 5674 | Arizona |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 14-0450 | Nevada |
Profile Details
NPI number | 1366866295 |
---|---|
LBN Legal business name | Caudle, Micah |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 12th, 2014 |
Last updated | Aug 9th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366866295 | NPPES |
Arizona | MEDICAID | 083794 |
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