Mckisic, Michael Sean

Mckisic, Michael Sean is an individual health care provider with primary practice located at 1725 E Boulder St Suite 101, Colorado Springs CO 80909-5768. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Mckisic, Michael Sean can be contacted via phone (719) 365-6300.

Contact Information

Primary practice address
1725 E Boulder St Suite 101 Colorado Springs CO 80909-5768
Phone: (719) 365-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116019544 Virginia
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X DR-53582 Colorado

Profile Details

NPI number 1497950273
LBN Legal business name Mckisic, Michael Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Jan 29th, 2015 - about 10 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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