Eickerman, Michael Scott
Eickerman, Michael Scott is an sole proprietor health care provider with primary practice located at 14841 179Th Ave Se Ste 140 , Monroe WA 98272-1127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eickerman, Michael Scott can be contacted via phone (360) 794-1415.Contact Information
Primary practice address
14841 179Th Ave Se Ste 140
Monroe WA 98272-1127
Phone: (360) 794-1415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 30108 | Washington |
Profile Details
| NPI number | 1841200755 |
|---|---|
| LBN Legal business name | Eickerman, Michael Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841200755 | NPPES |
| Washington | MEDICAID | 1103571 |
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