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:
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Health care specialties

SpecialtyCodeLicense #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 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 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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