Mickelson, Scot
Mickelson, Scot is an individual health care provider with primary practice located at 3318 N 14Th St , Bismarck ND 58503-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mickelson, Scot can be contacted via phone (701) 323-8870.Contact Information
Primary practice address
3318 N 14Th St
Bismarck ND 58503-1614
Phone: (701) 323-8870
Fax: (701) 323-8305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13730 | North Dakota |
Profile Details
| NPI number | 1902247703 |
|---|---|
| LBN Legal business name | Mickelson, Scot |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2013 |
| Last updated | Dec 14th, 2022 - about 3 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 | 1902247703 | NPPES |
| North Dakota | MEDICAID | 1468482 |
Popular Providers
-
Jondahl, Paul E
401 N 9Th St , Bismarck ND 58501-4507 -
Orchard, Jeffrey L
2700 State St , Bismarck ND 58503-0669 -
Seifert, Shelly A
828 Kirkwood Mall , Bismarck ND 58504-5752 -
Botsford, John D
401 N 9Th St , Bismarck ND 58501-4507 -
Murphy, Louise A
2700 State St , Bismarck ND 58503-0669 -
Smith, Jeffrey A
1033 Basin Ave , Bismarck ND 58504-6649 -
Erickstad, John A
401 N 9Th St , Bismarck ND 58501-4506 -
Roswick, Robert J
3318 N 14Th St , Bismarck ND 58503-1614