Deel, Mickey Brian

Deel, Mickey Brian is an individual health care provider with primary practice located at 225 E Jackson St , Jonesboro AR 72401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Deel, Mickey Brian can be contacted via phone (870) 207-4100.

Contact Information

Primary practice address
225 E Jackson St Jonesboro AR 72401
Phone: (870) 207-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-6585 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102201763 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-6585 Arkansas

Profile Details

NPI number 1427038678
LBN Legal business name Deel, Mickey Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Jul 18th, 2017 - about 7 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427038678 NPPES
Arkansas MEDICAID 190261003

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