Jarratt, Mikell J

Jarratt, Mikell J is an individual health care provider with primary practice located at 1021 X Ray Dr , Gastonia NC 28054-7489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Jarratt, Mikell J can be contacted via phone (704) 867-2341.

Contact Information

Primary practice address
1021 X Ray Dr Gastonia NC 28054-7489
Fax: (704) 867-9019
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 94-00850 North Carolina

Profile Details

NPI number 1497785604
LBN Legal business name Jarratt, Mikell J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated May 1st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497785604 NPPES
North Carolina MEDICAID 8945833
North Carolina MEDICAID N00850
North Carolina Other 110125035
North Carolina Other 45833

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