Mickelson Eye Clinic, Pa
LBN: Mickelson Eye Clinic, Pa
Mickelson Eye Clinic, Pa is an health care organization with primary practice located at 126 Labree Ave S , Thief River Falls MN 56701-2819. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Mickelson Eye Clinic, Pa can be contacted via phone (218) 683-3937, or through Mickelson, Craig R via phone (218) 683-3937.
Contact Information
Primary practice address
126 Labree Ave S
Thief River Falls MN 56701-2819
Phone: (218) 683-3937
Fax: (218) 683-4557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1891 | Minnesota |
Profile Details
| NPI number | 1972528776 |
|---|---|
| LBN Legal business name | Mickelson Eye Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Mickelson, Craig R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Apr 17th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972528776 | NPPES |
| Minnesota | Other | 1026440 | PREFERRED ONE |
| Minnesota | Other | 2201140 | PREFERRED ONE |
| Minnesota | Other | 71973 | PREFERRED ONE |
| Minnesota | Other | 140661 | PREFERRED ONE |
| Minnesota | Other | 61B37MI | PREFERRED ONE |
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