Mickelson, David
Mickelson, David is an individual health care provider with primary practice located at 1237 W Divide Ave Ste 5, Bismarck ND 58501-1208. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mickelson, David can be contacted via phone (701) 328-8881.Contact Information
Primary practice address
1237 W Divide Ave Ste 5
Bismarck ND 58501-1208
Phone: (701) 328-8881
Fax: (701) 328-8900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1506 | North Dakota |
Profile Details
| NPI number | 1356387534 |
|---|---|
| LBN Legal business name | Mickelson, David |
| Credentials | MS/LAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356387534 | NPPES |
| Other | 023737 | BCBS OF ND |
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