Mickelson, Erin Leah

Mickelson, Erin Leah is an sole proprietor health care provider with primary practice located at 1542 Marvin Gardens Ln , Prescott AZ 86301-5528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Mickelson, Erin Leah can be contacted via phone (928) 312-2011.

Contact Information

Primary practice address
1542 Marvin Gardens Ln Prescott AZ 86301-5528
Phone: (928) 312-2011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 137284 Arizona

Profile Details

NPI number 1508338732
LBN Legal business name Mickelson, Erin Leah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2018
Last updated Dec 28th, 2018 - about 6 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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