Mickelson, Charles Glen
Mickelson, Charles Glen is an sole proprietor health care provider with primary practice located at 423 12Th Ave. North , South St. Paul, MN 55075-1915. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Mickelson, Charles Glen can be contacted via phone (651) 291-7000.Contact Information
Primary practice address
423 12Th Ave. North
South St. Paul, MN 55075-1915
Phone: (651) 291-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist | 224L00000X | Minnesota |
Profile Details
| NPI number | 1568773679 |
|---|---|
| LBN Legal business name | Mickelson, Charles Glen |
| Credentials | C.PED. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2010 |
| Last updated | Nov 9th, 2010 - about 15 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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