Mickelson, Judith Ann
Mickelson, Judith Ann is an sole proprietor health care provider with primary practice located at 13949 W Meeker Blvd Suite C, Sun City West AZ 85375-4436. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Mickelson, Judith Ann can be contacted via phone (623) 975-1660.Contact Information
Primary practice address
13949 W Meeker Blvd Suite C
Sun City West AZ 85375-4436
Phone: (623) 975-1660
Fax: (623) 975-1654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA4649 | Arizona |
Profile Details
| NPI number | 1548446776 |
|---|---|
| LBN Legal business name | Mickelson, Judith Ann |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2008 |
| Last updated | Mar 11th, 2022 - about 2 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 | 1548446776 | NPPES |
| Arizona | Other | DA4649 | DEPARTMENT OF HEALTH SERVICES |
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