Mickelson, Gabrielle K

Mickelson, Gabrielle K is an individual health care provider with primary practice located at 204 W 36Th St , Scottsbluff NE 69361. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Dental Providers / Dental Hygienist. Dental Providers / Dental Hygienist is her primary health care specialty. Mickelson, Gabrielle K can be contacted via phone (308) 641-7414.

Contact Information

Primary practice address
204 W 36Th St Scottsbluff NE 69361
Phone: (308) 641-7414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Nebraska
Dental Providers / Dental Hygienist 124Q00000X 1976 Nebraska

Profile Details

NPI number 1770834970
LBN Legal business name Mickelson, Gabrielle K
Credentials RDH, PHRDH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2012
Last updated Jul 8th, 2018 - about 7 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.

Request for update

Popular Providers