Kurczynski, Elizabeth Mickelsen
Kurczynski, Elizabeth Mickelsen is an individual health care provider with primary practice located at 830 Pennsylvania Ave Suite 104, Charleston WV 25302-3302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Kurczynski, Elizabeth Mickelsen can be contacted via phone (304) 388-1559.Contact Information
Primary practice address
830 Pennsylvania Ave Suite 104
Charleston WV 25302-3302
Phone: (304) 388-1559
Fax: (304) 388-1577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 18874 | West Virginia |
Profile Details
| NPI number | 1861455339 |
|---|---|
| LBN Legal business name | Kurczynski, Elizabeth Mickelsen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1861455339 | NPPES |
| West Virginia | MEDICAID | 0079807000 |
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