Mick, James M

Mick, James M is an individual health care provider with primary practice located at 2120 Centerpointe West Drive , Prescott AZ 86301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mick, James M can be contacted via phone (928) 443-1111.

Contact Information

Primary practice address
2120 Centerpointe West Drive Prescott AZ 86301
Phone: (928) 443-1111
Fax: (928) 443-5554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16159 Arizona

Profile Details

NPI number 1336118926
LBN Legal business name Mick, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated May 15th, 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 1336118926 NPPES
Arizona MEDICAID 258097

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