Mickels, Jason John
Mickels, Jason John is an individual health care provider with primary practice located at 11704 W Center Rd Ste 200, Omaha NE 68144-4375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Mickels, Jason John can be contacted via phone (402) 691-1560.Contact Information
Primary practice address
11704 W Center Rd Ste 200
Omaha NE 68144-4375
Phone: (402) 691-1560
Fax: (402) 505-6249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 23524 | Nebraska |
Profile Details
| NPI number | 1164497806 |
|---|---|
| LBN Legal business name | Mickels, Jason John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Feb 6th, 2008 - about 16 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 | 1164497806 | NPPES |
| Nebraska | Other | 093431 | NE MEDICARE GROUP |
| Nebraska | Other | 47053349212 | NE MEDICARE GROUP |
| Nebraska | Other | 23524 | NE MEDICARE GROUP |
| Nebraska | Other | 999334 | NE MEDICARE GROUP |
| Nebraska | Other | P00326801 | NE MEDICARE GROUP |
| Nebraska | Other | CJ6643 | NE MEDICARE GROUP |
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