Mickelson, Joseph Edward
Mickelson, Joseph Edward is an individual health care provider with primary practice located at 6500 E 2Nd St Suite 200, Casper WY 82609-4338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mickelson, Joseph Edward can be contacted via phone (307) 577-5100.Contact Information
Primary practice address
6500 E 2Nd St Suite 200
Casper WY 82609-4338
Phone: (307) 577-5100
Fax: (307) 234-1201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5638A | Wyoming |
Profile Details
| NPI number | 1467448043 |
|---|---|
| LBN Legal business name | Mickelson, Joseph Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Aug 11th, 2020 - about 4 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 | 1467448043 | NPPES |
| Wyoming | Other | 315272 | BC/BS |
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