Mick, Gerald Dwight
Mick, Gerald Dwight is an individual health care provider with primary practice located at 12400 N Meridian St Ste 100 , Carmel IN 46032-4601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mick, Gerald Dwight can be contacted via phone (317) 582-8900.Contact Information
Primary practice address
12400 N Meridian St Ste 100
Carmel IN 46032-4601
Phone: (317) 582-8900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01047173A | Indiana |
Profile Details
| NPI number | 1457315129 |
|---|---|
| LBN Legal business name | Mick, Gerald Dwight |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Dec 16th, 2020 - about 4 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 | 1457315129 | NPPES |
| Indiana | Other | DC3600 | RAILROAD GROUP |
| Indiana | MEDICAID | 200454250 | RAILROAD GROUP |
| Indiana | Other | P00475864 | RAILROAD GROUP |
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